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

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.

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 IDStateProvider typePAC IDDetails
I20260526002286 NC Practitioner - Nurse Practitioner 4486185931 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5020395NCMDCritical Care Neonatal Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: tahearn537815@direct.medicine.duke.edu

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Durham, NC · Critical Care Neonatal Nurse Practitioner in North Carolina

Sources for this page

Verify at the official NPI Registry.