Individual provider Active NPI

Alice Diane Taft, WHNP

  • Women's Health Clinical Nurse Specialist
  • Palmdale, CA
National Provider Identifier
1164744645
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X
License
NP12142 Issued in CA
Practice address
38350 40TH St E
Palmdale, CA 93552-3075
Phone
(661) 726-6325
Fax
(661) 726-6333
NPI assigned
Feb 24, 2010
Last updated
Mar 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X NP12142 CA
Women's Health Clinical Nurse Specialist 364SW0102X NP12142 CA Primary

Addresses

Primary practice location

38350 40TH St E
Palmdale, CA 93552-3075

Mailing address

38350 40TH St E
Suite 200
Palmdale, CA 93552-3075
Phone (661) 726-6325

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NP12142CAMDAmbulatory Family Planning Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Antelope Valley Hospital OB Clinic Palmdale Past Accepting new patients

Organizations & group practices 1

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": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1164744645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38350 40TH ST E",
            "address_2": "SUITE 200",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935523075",
            "telephone_number": "661-726-6325",
            "fax_number": "661-726-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38350 40TH ST E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935523075",
            "telephone_number": "661-726-6325",
            "fax_number": "661-726-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFT",
        "first_name": "ALICE",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "CA",
            "license": "NP12142",
            "primary": false
        },
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "CA",
            "license": "NP12142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.