Individual provider Active NPI

Taylor Joy Evans, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kettering, OH
National Provider Identifier
1124807052
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0034756 Issued in OH
Practice address
3008 Sudbury Dr
Kettering, OH 45420-1129
Phone
(937) 668-6633
NPI assigned
Sep 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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 APRN.CNP.0034756 OH Primary

Addresses

Primary practice location

3008 Sudbury Dr
Kettering, OH 45420-1129

Mailing address

1430 Summit St
Columbus, OH 43201-2106
Phone (614) 348-1601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240911000910 OH Practitioner - Nurse Practitioner 1951841428 Reassigns benefits to 1 organization
I20250514001765 IN Practitioner - Nurse Practitioner 1951841428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Anxiety Center LLCGroup PAC ID 2668915059, 11 clinicians

Practice addresses (Care Compare)

11085 Montgomery Rd
Suite 250
Cincinnati, OH 45249-2395
Phone (937) 884-1087

7340 Crossing PL
Fishers, IN 46038-2708
Phone (463) 219-1202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0034756OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Anxiety Center LLC CurrentSince Jul 16, 2024 Accepting new patients
The Anxiety Center LLC CurrentSince Jul 16, 2024 Accepting new patients

Locations

7340 Crossing Pl
Fishers, IN 46038
Phone (463) 219-1202

7340 Crossing Pl
Ste 100
Fishers, IN 46038
Phone (317) 938-3327

11085 Montgomery Rd
Ste 250
Montgomery, OH 45249
Phone (513) 547-2861

2331 Far Hills Ave
Ste 300
Oakwood, OH 45419
Phone (937) 884-1087

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1124807052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 SUMMIT ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012106",
            "telephone_number": "614-348-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 SUDBURY DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201129",
            "telephone_number": "937-668-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TAYLOR",
        "middle_name": "JOY",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0034756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.