Individual provider Active NPI

Taylor Owen, NP

  • Family Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1164310405
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
39185 Issued in TN
Practice address
625 Johnny Cash Blvd
Hendersonville, TN 37075-2602
Phone
(615) 431-5484
NPI assigned
Jun 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 39185 TN Primary

Addresses

Primary practice location

625 Johnny Cash Blvd
Hendersonville, TN 37075-2602

Mailing address

4808 E Evans Rd
Clarksville, TN 37043-6918
Phone (615) 310-1816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20250807004282 TN Practitioner - Nurse Practitioner 6800394974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ken Homolya MD LLCGroup PAC ID 5799960464, 12 clinicians

Practice addresses (Care Compare)

625 E Main St
Suite 3
Hendersonville, TN 37075-2602
Phone (615) 431-5484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
39185TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ken Homolya MD LLC CurrentSince Jun 16, 2025 Accepting new patients
Ken Homolya, MD, LLC CurrentSince Jun 16, 2025 Accepting new patients

Locations

103 Hazel Path
Ste 7
Hendersonville, TN 37075
Phone (615) 431-5484

625 Johnny Cash Blvd
Ste 3
Hendersonvlle, TN 37075
Phone (615) 431-5484

5114 Old Hickory Blvd
Ste 201
Hermitage, TN 37076
Phone (615) 431-5484

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1164310405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 E EVANS RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436918",
            "telephone_number": "615-310-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 JOHNNY CASH BLVD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752602",
            "telephone_number": "615-431-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "39185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.