Individual provider Active NPI

Mahealani Leigh Taylor, NP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1225291297
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-075981 Issued in AL
Practice address
2314 Pansy St SW
Huntsville, AL 35801-3803
Phone
(256) 715-7483
Fax
(256) 715-7414
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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 1-075981 AL Primary

Addresses

Primary practice location

2314 Pansy St SW
Huntsville, AL 35801-3803

Mailing address

PO Box 11407
Birmingham, AL 35246-0116
Phone (256) 533-7064

Other identifiers 1

IdentifierTypeStateIssuer
1075981OtherALLICENSE

Other names 1

  • Mahaelani Leigh Reagh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170130000692 AL Practitioner - Nurse Practitioner 2961578810 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-075981ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Valley Pain Consultants, PC CurrentSince Mar 15, 2017 Accepting new patients
Livinghealthymd PC CurrentSince Sep 1, 2022 Accepting new patients
Athens-Limestone ER Physicians CurrentSince May 11, 2018 Accepting new patients

Locations

700 W Market St
Athens, AL 35611
Phone (256) 233-9292

201 Governors Dr SW
Ste 400
Huntsville, AL 35801
Phone (256) 265-7246

2314 Pansy St SW
Huntsville, AL 35801
Phone (256) 534-5028

3626 Memorial Pkwy SW
Huntsville, AL 35801
Phone (256) 715-7483

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

201 Governors Dr SW
Huntsville, AL 35801
Phone (256) 265-6851

460 Lanier Rd
Ste 100
Madison, AL 35758
Phone (256) 319-9000

Organizations & group practices 3

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1225291297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460116",
            "telephone_number": "256-533-7064",
            "fax_number": "256-704-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 PANSY ST SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013803",
            "telephone_number": "256-715-7483",
            "fax_number": "256-715-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MAHEALANI",
        "middle_name": "LEIGH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-075981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1075981",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAHAELANI",
            "last_name": "REAGH",
            "middle_name": "LEIGH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.