Individual provider Active NPI

Tayler Price

  • Family Nurse Practitioner
  • Port Orange, FL
National Provider Identifier
1215769286
Registry record updated Aug 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11033509 Issued in FL
Practice address
4645 Clyde Morris Blvd Ste 404
Port Orange, FL 32129-3005
Phone
(386) 855-8633
NPI assigned
Aug 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
APRN11033509FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Verdure Exclusive PA CurrentSince Aug 18, 2024 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 and National Provider Directory roles.

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

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.

Verify at the official NPI Registry.