Individual provider Active NPI

Tiffany Taylor

  • Adult Health Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1205288974
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2016095970 Issued in MO
Practice address
9229 Ward Pkwy Ste 380
Kansas City, MO 64114-5471
Phone
(816) 319-4785
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2016095970 MO Primary

Addresses

Primary practice location

9229 Ward Pkwy Ste 380
Kansas City, MO 64114-5471

Mailing address

763 Johnsonburg Rd
Saint Marys, PA 15857-3417

Other practice location 1

763 Johnsonburg Rd
Saint Marys, PA 15857-3417
Phone (814) 788-8000

Other practice location 2

21 Corporate Woods, 10870 Benson Drive #2160
Overland Park, KS 66210
Phone (833) 357-3227

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2016095970MOMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ttaylor@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1205288974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 JOHNSONBURG RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 WARD PKWY STE 380",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145471",
            "telephone_number": "816-319-4785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "763 Johnsonburg Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "PA",
            "postal_code": "158573417",
            "country_code": "US",
            "telephone_number": "814-788-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Corporate Woods, 10870 Benson Drive #2160",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "66210",
            "country_code": "US",
            "telephone_number": "833-357-3227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2016095970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.