Individual provider Active NPI

Ellen Jane Taylor, ARNP

  • Family Nurse Practitioner
  • Coeur D Alene, ID
National Provider Identifier
1255301727
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP467A Issued in ID
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

Updated by the provider on Oct 6, 2010

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 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

IdentifierTypeStateIssuer
805687300MedicaidID

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

LicenseStateTypeSpecialty
NP467AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Family Practice, PA CurrentSince Jan 12, 2025 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.

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.

Verify at the official NPI Registry.