Individual provider Active NPI

Terry Lynn Taylor, PMHNP, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1124345764
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP00112 Issued in NM
Practice address
2001 Centro Familiar Blvd SW
Albuquerque, NM 87105-4592
Phone
(505) 873-7400
NPI assigned
Apr 21, 2010
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP00112 NM Primary

Addresses

Primary practice location

2001 Centro Familiar Blvd SW
Albuquerque, NM 87105-4592

Mailing address

PO Box 912678
Denver, CO 80291-2678
Phone (505) 241-5182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210324002271 NM Practitioner - Nurse Practitioner 8224278239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2001 Centro Familiar Blvd SW
Albuquerque, NM 87105-4592
Phone (505) 873-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18825CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Community Healthcare, Inc. CurrentSince Dec 29, 2022 Accepting new patients
First Choice Community Healthcare, Inc. CurrentSince Dec 29, 2022 Accepting new patients
La Cheim School, Inc. CurrentSince Apr 14, 2013 Accepting new patients
First Choice Community Healthcare, Inc. Current Accepting new patients
La Cheim School, Inc. PastSince Apr 14, 2013 Accepting new patients

Locations

3031 Telegraph Ave
Oakland, CA 94609
Phone (510) 596-8125

2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Phone (505) 873-7462

145 Don Pasqual Rd NW
Los Lunas, NM 87031
Phone (505) 224-8740

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1124345764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912678",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802912678",
            "telephone_number": "505-241-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CENTRO FAMILIAR BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054592",
            "telephone_number": "505-873-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TERRY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PMHNP, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "CNP00112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.