Kimberlie Ann Taylor, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP020627 Issued in PA

Practice address

404 E High St
Pottstown, PA 19464-5622

Phone

(484) 973-6661

Fax

(610) 323-6058

NPI assigned

Aug 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Specialty

Nurse Practitioner

Education

Other, 2029

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Forge Medical Group, LLCGroup PAC ID 5597163949, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Forge Medical Group, LLC

  • Psychiatry Physician
  • Greensburg, PA
  • NPI 1578289252
  Medicare reassignment Care Compare group NPD
• Psych Choices of the Delaware Valley, LLC

  • Professional Counselor
  • Drexel Hill, PA
  • NPI 1194213892

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Vital Healthcare Solutions

  • Psychiatry Physician
  • Sinking Springs, PA
  • NPI 1659736957
  Medicare reassignment NPD
• Forge Medical Group, LLC

  • Psychiatry Physician
  • White Plains, NY
  • NPI 1811561855
  NPD
• Family & Community Service of Delaware County

  • Adult Mental Health Clinic/Center
  • Springfield, PA
  • NPI 1922068725
  NPD (past)

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1164077384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 GILHAM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115230",
            "telephone_number": "347-570-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E HIGH ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194645622",
            "telephone_number": "484-973-6661",
            "fax_number": "610-323-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KIMBERLIE",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP020627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirstin A Tarquini
• Jennifer Tavares
• Taylor Behavioral Health Services
• Amber Lanae Taylor, DOULA
• Emma Taylor
• Lonnisha Taylor
• Melissa Taylor, BCABA
• Shekayla Taylor
• TC Dental PLLC
• Tariere Caroline Tebepah

• Psychiatric/Mental Health Nurse Practitioner in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.