Active NPI
De Anna Marie Taylor, MSN, FNP-BC
- Family Nurse Practitioner
- Yucca Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95007703
- Practice address
- 56612 Kismet Rd
Yucca Valley, CA 92284-4372 - Phone
- (760) 821-3981
- NPI assigned
- Jul 21, 2006
- Last updated
- Apr 8, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP3099232 | FL | |
| Family Nurse Practitioner | 363LF0000X | AP 127168 | TX | |
| Family Nurse Practitioner | 363LF0000X | APN 19800 | TN | |
| Family Nurse Practitioner | 363LF0000X | 95007703 | CA | Primary |
Addresses
Primary practice location
56612 Kismet Rd
Yucca Valley, CA 92284-4372
Mailing address
4700 Millenia Boulevard
#175-90651
Orlando, FL 32839-6013
Phone (866) 579-5103
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23543 | SC | MD | Registered Nurse |
| 4867 | MN | MD | Physical Therapist |
| ARNP3099232 | FL | MD | Family Nurse Practitioner |
| APN 19800 | TN | MD | Family Nurse Practitioner |
| AP 127168 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Measures | Current | Accepting new patients | |
| Inez Kathleen Ray-Annis, MSW, P.S., Inc. | Past | Accepting new patients | |
| Wound Care on Wheels LLC | Past | Accepting new patients | |
| Desmond P. Bell, Jr., DPM, PA | Family | Past | Accepting new patients |
Locations
400 W Capitol Ave
Ste 1700
Little Rock, AR 72201
Phone (501) 238-3509
309 Court Ave
Ste 200
Des Moines, IA 50309
Phone (305) 735-1475
800 W Main St
Ste 1460
Boise, ID 83702
Phone (208) 297-4091
1340 Poydras St
Ste 2000
New Orleans, LA 70112
625 Kenmoor Ave SE
Ste 301
Grand Rapids, MI 49546
Phone (231) 519-8300
1925 Grand Ave
Ste 127
Billings, MT 59102
Phone (406) 206-0800
3523 45th St S
Fargo, ND 58104
Phone (701) 747-9701
519 W 22nd St
Ste 100
Sioux Falls, SD 57105
Phone (619) 549-9409
145 Pine Haven Shores Rd
Ste 1000
Shelburne, VT 05482
Phone (802) 304-4048
Organizations & group practices 4
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.
-
- Registered Dietitian
- Boston, MA
- NPI 1427487917
-
dba Wound Care on Wheels
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1730300179
-
dba Annis Counseling & Evaluation Services
- Clinical Social Worker
- Vancouver, WA
- NPI 1194003590
-
- Podiatrist
- Jacksonville, FL
- NPI 1275768335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1154342558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 MILLENIA BOULEVARD",
"address_2": "#175-90651",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328396013",
"telephone_number": "866-579-5103",
"fax_number": "866-280-6661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56612 KISMET RD",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922844372",
"telephone_number": "760-821-3981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "DE ANNA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP3099232",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP 127168",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN 19800",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95007703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.