Active NPI
Tayler Price
- Family Nurse Practitioner
- Port Orange, FL
National Provider Identifier
1215769286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11033509
- Practice address
- 4645 Clyde Morris Blvd Ste 404
Port Orange, FL 32129-3005 - Phone
- (386) 855-8633
- NPI assigned
- Aug 17, 2024
- Last updated
- Aug 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11033509 | FL | Primary |
Addresses
Primary practice location
4645 Clyde Morris Blvd Ste 404
Port Orange, FL 32129-3005
Mailing address
4645 Clyde Morris Blvd Ste 404
Port Orange, FL 32129-3005
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11033509 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verdure Exclusive PA | Current | Accepting new patients |
Locations
4645 Clyde Morris Blvd
Ste 404
Port Orange, FL 32129
Phone (386) 855-8633
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": "1723852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723852800000",
"number": "1215769286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4645 CLYDE MORRIS BLVD STE 404",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321293005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4645 CLYDE MORRIS BLVD STE 404",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321293005",
"telephone_number": "386-855-8633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "TAYLER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-17",
"last_updated": "2024-08-17",
"certification_date": "2024-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11033509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
- Premier Home Healthcare, Inc
- Premier Physician Consulting
- Lisa Prescott
- Anais Prest
- Donna L Price, HOME HEALTH AIDE
- Primary Care Center of Port Orange
- Primary Care of Port Orange
- Primecare Acquisition Inc (PrimeCare Urgent Care Centers Port Orange)
- Pro-Motion Physical Therapy of Volusia Cty
- Proactive Transitions, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.