Individual provider Active NPI

Taylor Lynn Hardisty, APRN

  • Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1134923659
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11038614 Issued in FL
Practice address
4601 Military TRL Ste 208
Jupiter, FL 33458-4837
Phone
(561) 795-3787
NPI assigned
Apr 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9440813 FL
Nurse Practitioner 363L00000X APRN11038614 FL Primary

Addresses

Primary practice location

4601 Military TRL Ste 208
Jupiter, FL 33458-4837

Mailing address

235 Magnolia St
Satellite Beach, FL 32937-3010
Phone (772) 486-2493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN9440813FLMDRegistered Nurse
APRN11038614FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Institute of the Palm Beaches Inc CurrentSince Apr 6, 2025 Accepting new patients

Locations

4601 Military Trl
Ste 208
Jupiter, FL 33458
Phone (561) 795-3787

Organizations & group practices 1

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": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1134923659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MAGNOLIA ST",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373010",
            "telephone_number": "772-486-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 MILITARY TRL STE 208",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584837",
            "telephone_number": "561-795-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDISTY",
        "first_name": "TAYLOR",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9440813",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11038614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.