Individual provider Active NPI

Stephanie Nicholas Taylor, M.D.

  • Infectious Disease Physician
  • New Orleans, LA
National Provider Identifier
1205855277
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
019963 Issued in LA
Practice address
533 Bolivar St
New Orleans, LA 70112-1349
Phone
(504) 568-5031
Fax
(504) 568-8825
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 019963 LA Primary

Addresses

Primary practice location

533 Bolivar St
New Orleans, LA 70112-1349

Mailing address

10724 Big Sur Dr
Baton Rouge, LA 70818-3103
Phone (225) 261-5901

Other practice location 1

3308 Tulane Ave
New Orleans, LA 70119-7100
Phone (504) 821-2601

Other practice location 2

1631 Elysian Fields Ave
New Orleans, LA 70117-8208
Phone (504) 821-2601

Other identifiers 2

IdentifierTypeStateIssuer
00118504MedicaidMS
1683591MedicaidLA

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
019963LAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G Past Accepting new patients
Lsu Medical Center Past Accepting new patients

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1205855277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10724 BIG SUR DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708183103",
            "telephone_number": "225-261-5901",
            "fax_number": "225-261-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 BOLIVAR ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121349",
            "telephone_number": "504-568-5031",
            "fax_number": "504-568-8825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3308 Tulane Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701197100",
            "country_code": "US",
            "telephone_number": "504-821-2601",
            "fax_number": "504-814-6047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1631 Elysian Fields Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701178208",
            "country_code": "US",
            "telephone_number": "504-821-2601",
            "fax_number": "504-814-6047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "STEPHANIE",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-09-08",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "019963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118504",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1683591",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.