Individual provider Active NPI

Debra Ann Taylor, APRN

  • Family Nurse Practitioner
  • Leitchfield, KY
National Provider Identifier
1245792522
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013274 Issued in KY
Practice address
718 Goodwin LN
Leitchfield, KY 42754-1400
Phone
(731) 394-1145
NPI assigned
Apr 4, 2019
Last updated
Aug 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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 3013274 KY Primary

Addresses

Primary practice location

718 Goodwin LN
Leitchfield, KY 42754-1400

Mailing address

36 Pemberton CV
Jackson, TN 38305-5514
Phone (731) 394-1145

Other practice location 1

505 William Thomason Byu
Leitchfield, KY 42754-1419
Phone (731) 394-1145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190607001776 KY Practitioner - Nurse Practitioner 8527391416 Reassigns benefits to 3 organizations
I20191126002372 IN Practitioner - Nurse Practitioner 8527391416 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kentucky College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2040 Harrodsburg Rd
Suite 200
Lexington, KY 40503-1703
Phone (859) 899-7993

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3013274KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Jun 1, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 13, 2022 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Sep 1, 2022 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Mar 1, 2020 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner Current Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 13, 2022 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Jun 1, 2019 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Sep 1, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 1, 2020 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

2051 Clevidence Blvd
Ste A
Clarksville, IN 47129
Phone (812) 280-1720

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1095 Morton Ave
Bardstown, KY 40004
Phone (502) 601-0107

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

2040 Harrodsburg Rd
Ste 200
Lexington, KY 40503
Phone (859) 899-7993

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

150 N Highway 27
Somerset, KY 42503
Phone (606) 485-1021

Organizations & group practices 10

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.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1245792522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PEMBERTON CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055514",
            "telephone_number": "731-394-1145",
            "fax_number": "844-374-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 GOODWIN LN",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541400",
            "telephone_number": "731-394-1145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 William Thomason Byu",
            "address_purpose": "LOCATION",
            "city": "Leitchfield",
            "state": "KY",
            "postal_code": "427541419",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leitchfield, KY

Sources for this page

Verify at the official NPI Registry.