Active NPI
Ellen Jane Taylor, ARNP
- Family Nurse Practitioner
- Coeur D Alene, ID
National Provider Identifier
1255301727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP467A
- Practice address
- 700 W Ironwood Dr
Suite 170E
Coeur D Alene, ID 83814-2656 - Phone
- (208) 667-9110
- Fax
- (208) 676-1272
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP467A | ID | Primary |
Addresses
Primary practice location
700 W Ironwood Dr
Suite 170E
Coeur D Alene, ID 83814-2656
Mailing address
700 W Ironwood Dr
Suite 272E
Coeur D Alene, ID 83814-2656
Phone (208) 676-0102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805687300 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP467A | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ironwood Family Practice, PA | Current | Accepting new patients | |
| North Idaho Family Physicians, LLC | Past | Accepting new patients | |
| Kootenai Health, Inc. | Past | Accepting new patients | |
| Kootenai Health, Inc. | Past | Accepting new patients |
Locations
3815 N Schreiber Way
Unit 102
Coeur D Alene, ID 83815
Phone (208) 667-4557
920 W Ironwood Dr
Ste 101
Coeur D Alene, ID 83814
Phone (208) 667-4557
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Coeur D Alene, ID
- NPI 1083650931
-
- Psychiatry Physician
- Coeur D Alene, ID
- NPI 1174661151
-
- Emergency Medicine Physician
- Coeur D Alene, ID
- NPI 1235288655
-
- Family Medicine Physician
- Coeur D Alene, ID
- NPI 1225080799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286323200000",
"number": "1255301727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 W IRONWOOD DR",
"address_2": "SUITE 272E",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142656",
"telephone_number": "208-676-0102",
"fax_number": "208-676-0147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W IRONWOOD DR",
"address_2": "SUITE 170E",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142656",
"telephone_number": "208-667-9110",
"fax_number": "208-676-1272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ELLEN",
"middle_name": "JANE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2010-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "NP467A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805687300",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.