Individual provider Active NPI

De Anna Marie Taylor, MSN, FNP-BC

  • Family Nurse Practitioner
  • Yucca Valley, CA
National Provider Identifier
1154342558
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007703 Issued in CA
Practice address
56612 Kismet Rd
Yucca Valley, CA 92284-4372
Phone
(760) 821-3981
NPI assigned
Jul 21, 2006
Last updated
Apr 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
23543SCMDRegistered Nurse
4867MNMDPhysical Therapist
ARNP3099232FLMDFamily Nurse Practitioner
APN 19800TNMDFamily Nurse Practitioner
AP 127168TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Measures CurrentSince Jun 1, 2016 Accepting new patients
Inez Kathleen Ray-Annis, MSW, P.S., Inc. Past Accepting new patients
Wound Care on Wheels LLC PastSince May 1, 2009 Accepting new patients
Desmond P. Bell, Jr., DPM, PA Family PastSince Oct 31, 2005 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.

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.

Verify at the official NPI Registry.