Active NPI
Tawanda Taylor, CRNP
- Adult Health Nurse Practitioner
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1-115111
- Practice address
- 3065 Dauphin St
Mobile, AL 36606-4040 - Phone
- (251) 271-7017
- Fax
- (251) 220-5536
- NPI assigned
- Apr 1, 2015
- Last updated
- Jun 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1-115111 | AL | Primary |
Addresses
Primary practice location
3065 Dauphin St
Mobile, AL 36606-4040
Mailing address
PO Box 746063
Atlanta, GA 30374-6063
Phone (312) 733-9730
Other practice location 1
25806 Pollard Rd Apt 37
Daphne, AL 36526-5175
Phone (251) 850-7034
Other practice location 2
1687 Center Point Pkwy
Birmingham, AL 35215-5528
Phone (205) 557-7022
Other practice location 3
633 Tuscaloosa Ave SW
Birmingham, AL 35211-1637
Phone (205) 235-4003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3065 Dauphin St
Mobile, AL 36606-4040
Phone (251) 271-7017
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-115111 | AL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services PC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Current | Accepting new patients | |
| Oak Street Health Physicians Group of Alabama, LLC | Current | Accepting new patients |
Locations
1687 Center Point Pkwy
Ste 121
Birmingham, AL 35215
Phone (205) 557-7022
2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760
633 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 235-4003
3065 Dauphin St
Mobile, AL 36606
Phone (251) 271-7017
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1770161432
-
- Nephrology Physician
- Brentwood, TN
- NPI 1134739089
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Springhill Memorial Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1003814971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1124413661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746063",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746063",
"telephone_number": "312-733-9730",
"fax_number": "773-866-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3065 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366064040",
"telephone_number": "251-271-7017",
"fax_number": "251-220-5536"
}
],
"practiceLocations": [
{
"address_1": "25806 Pollard Rd Apt 37",
"address_purpose": "LOCATION",
"city": "Daphne",
"state": "AL",
"postal_code": "365265175",
"country_code": "US",
"telephone_number": "251-850-7034",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1687 Center Point Pkwy",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352155528",
"country_code": "US",
"telephone_number": "205-557-7022",
"fax_number": "205-831-2849",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "633 Tuscaloosa Ave SW",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352111637",
"country_code": "US",
"telephone_number": "205-235-4003",
"fax_number": "205-941-8071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "TAWANDA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-01",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AL",
"license": "1-115111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
- Medea Temonia Taylor, M.S., CCC-SLP
- Rachael Hughes Taylor, CRNP
- Sherrye Ann Taylor, CRNP
- Summer L Taylor, D.P.T
- Tam Cao Taylor
- Tiesha Taylor
- Tracey Lucinda Taylor, CRNP
- William Riley Taylor, WILLIAM TAYLOR
- Taylor's House of Camellias LLC (Taylor's House of Camellias Transportation)
- Team Adaptive, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.