Individual provider Active NPI

Taylor Lightsey

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1255058764
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-150635 Issued in AL
Practice address
2018 Brookwood Medical Ctr Dr Ste G100
Birmingham, AL 35209-6898
Phone
(205) 527-0975
NPI assigned
Oct 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-150635 AL
Family Nurse Practitioner 363LF0000X 1-150635 AL Primary

Addresses

Primary practice location

2018 Brookwood Medical Ctr Dr Ste G100
Birmingham, AL 35209-6898

Mailing address

2018 Brookwood Medical Ctr Dr Ste G100
Birmingham, AL 35209-6898
Phone (205) 527-0975

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
I20250311000583 AL Practitioner - Nurse Practitioner 2466973136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walker Medical Diagnostics, LLCGroup PAC ID 8921000845, 10 clinicians

Practice addresses (Care Compare)

1450 Jones Dairy Rd
Suite 900
Jasper, AL 35501-6108
Phone (205) 387-8159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Medical Diagnostics, LLC CurrentSince Jan 1, 2025 Accepting new patients
Walker Medical Diagnostics, LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

1450 Jones Dairy Rd
Ste 400
Jasper, AL 35501
Phone (205) 221-0562

1450 Jones Dairy Rd
Ste 600
Jasper, AL 35501
Phone (205) 295-4100

701 19th St E
Jasper, AL 35501
Phone (205) 221-1516

1450 Jones Dairy Rd
Ste 900
Jasper, AL 35501
Phone (205) 387-8159

1450 Jones Dairy Rd
Bldg 6
Jasper, AL 35501
Phone (205) 295-4100

1450 Jones Dairy Rd
Bldg 4
Jasper, AL 35501
Phone (205) 221-0562

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": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1255058764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 BROOKWOOD MEDICAL CTR DR STE G100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096898",
            "telephone_number": "205-527-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 BROOKWOOD MEDICAL CTR DR STE G100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096898",
            "telephone_number": "205-527-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTSEY",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-150635",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-150635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.