Individual provider Active NPI

Lena Clair Taylor, APRN

  • Family Nurse Practitioner
  • Riverview, FL
National Provider Identifier
1164194569
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11015492 Issued in FL
Practice address
10518 Egret Haven LN
Riverview, FL 33578-3358
Phone
(850) 390-5206
NPI assigned
Oct 4, 2021
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11015492 FL
Family Nurse Practitioner 363LF0000X 11015492 FL Primary
Family Medicine Physician 207Q00000X 11015492 FL

Addresses

Primary practice location

10518 Egret Haven LN
Riverview, FL 33578-3358

Mailing address

10518 Egret Haven LN
Riverview, FL 33578-3358
Phone (850) 390-5206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20230302001886 FL Practitioner - Nurse Practitioner 4183097637 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Olive Health LLCGroup PAC ID 1153739214, 7 clinicians

Practice addresses (Care Compare)

4912 W Trapnell Rd
Plant City, FL 33566-0128
Phone (813) 389-9474

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11015492FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Health LLC Multi-Specialty CurrentSince Oct 31, 2024 Accepting new patients
Affiliated Health Clinics Multi-Specialty CurrentSince Nov 25, 2022 Accepting new patients

Locations

1515 22nd Ave N
St Petersburg, FL 33704
Phone (727) 322-4227

3600 Central Ave
St Petersburg, FL 33711
Phone (727) 322-4227

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADGHAD

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1164194569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10518 EGRET HAVEN LN",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783358",
            "telephone_number": "850-390-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10518 EGRET HAVEN LN",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783358",
            "telephone_number": "850-390-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LENA",
        "middle_name": "CLAIR",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11015492",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11015492",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11015492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.