Taylor Marie Ahearn, NP
Individual provider Active NPI Critical Care Neonatal Nurse Practitioner · Durham, NC
NPI 1255178240 · NPPES record last updated Aug 19, 2024
Key facts
- NPI
- 1255178240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Neonatal Nurse Practitioner 363LN0005X
- License
- 5020395 (NC)
- Practice address
- 2301 Erwin Rd
Durham, NC 27705-4699 - Phone
- (919) 684-8111
- NPI assigned
- Jul 9, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 110566
Durham, NC 27709
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260526002286 | NC | Practitioner - Nurse Practitioner | 4486185931 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5020395 | NC | MD | Critical Care Neonatal Nurse Practitioner |
Interoperability endpoints
- tahearn537815@direct.medicine.duke.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 5020395 | NC | Yes |
Addresses
Primary practice location
2301 Erwin Rd
Durham, NC 27705-4699
Mailing address
2304 Trellis CT
Raleigh, NC 27604-8699
Phone (336) 362-2832
Other providers in Durham, NC
- Swati Agrawal
- Emmanuel Uchenna Agu
- Monique Clytie Agustin
- Ahb Center for Behavioral Health and Wellness, PLLC
- Ahb Psychological Services, PLLC
- Carolyn Grace Ahlers
- Jumah G Ahmad
- Hazem Mohammed Ahmed Kassem
- Habiba Mateen Ahmed
- Melissa Ahrens
All providers in Durham, NC · Critical Care Neonatal Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.