Individual provider Active NPI

Ameshia D Bush Taylor, MD

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1164729406
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1081016 Issued in AL
Practice address
451 S Broad St
Mobile, AL 36603-1121
Phone
(251) 654-7453
Fax
(251) 380-6973
NPI assigned
Feb 23, 2011
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1081016 AL
Community Health Nurse Practitioner 363LC1500X 1081016 AL
Family Nurse Practitioner 363LF0000X 1081016 AL Primary
Primary Care Nurse Practitioner 363LP2300X 1081016 AL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1081016 AL

Addresses

Primary practice location

451 S Broad St
Mobile, AL 36603-1121

Mailing address

451 S Broad St
Mobile, AL 36603-1121
Phone (251) 654-7453

Other practice location 1

3610 Springhill Memorial Dr N
Mobile, AL 36608-1162
Phone (251) 232-4304

Other practice location 2

1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone (251) 432-4117

Other identifiers 1

IdentifierTypeStateIssuer
1081016OtherALSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20110401000765 AL Practitioner - Nurse Practitioner 8123202942 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1081016ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Primary Health Center, Inc CurrentSince Feb 22, 2011 Accepting new patients
Franklin Primary Health Center Inc CurrentSince Feb 22, 2011 Accepting new patients
Franklin Primary Health Center Inc. Current Accepting new patients

Locations

1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646

1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603

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": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1164729406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 S BROAD ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366031121",
            "telephone_number": "251-654-7453",
            "fax_number": "251-380-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 S BROAD ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366031121",
            "telephone_number": "251-654-7453",
            "fax_number": "251-380-6973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3610 Springhill Memorial Dr N",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366081162",
            "country_code": "US",
            "telephone_number": "251-232-4304",
            "fax_number": "251-232-4304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1303 Dr Martin L King Jr Ave",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366035341",
            "country_code": "US",
            "telephone_number": "251-432-4117",
            "fax_number": "251-964-4012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSH TAYLOR",
        "first_name": "AMESHIA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1081016",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "AL",
            "license": "1081016",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1081016",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1081016",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AL",
            "license": "1081016",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1081016",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.