Individual provider Active NPI

Mary E Taylor, C-NP

  • Nurse Practitioner
  • Washington, DC
National Provider Identifier
1134313760
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN53170 Issued in DC
Practice address
700 Constitution Ave NE
Washington, DC 20002-6058
Phone
(202) 543-4800
Fax
(202) 675-0411
NPI assigned
Aug 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN53170 DC Primary

Addresses

Primary practice location

700 Constitution Ave NE
Washington, DC 20002-6058

Mailing address

8256 Cedar Landing CT
Alexandria, VA 22306-3237
Phone (703) 201-4263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20160718000783 DC Practitioner - Nurse Practitioner 3072805746 Reassigns benefits to 1 organization
I20160914001837 VA Practitioner - Nurse Practitioner 3072805746 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN53170DCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Services, Incorporated CurrentSince Apr 23, 2016 Accepting new patients
Center Radiology PC Past Accepting new patients
Minimally Invasive Pain Institute, PLLC PastSince Jun 25, 2016 Accepting new patients

Locations

2616 Sherwood Hall Ln
Ste 201
Alexandria, VA 22306
Phone (703) 360-8200

2296 Opitz Blvd
Ste 360
Woodbridge, VA 22191
Phone (703) 878-0600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1134313760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8256 CEDAR LANDING CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063237",
            "telephone_number": "703-201-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CONSTITUTION AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200026058",
            "telephone_number": "202-543-4800",
            "fax_number": "202-675-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "C-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN53170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.