Active NPI
Rebecca Suzanne Taylor
- Nurse Practitioner
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61201960
- Practice address
- 3901 Capital Mall Dr SW Ste a
Olympia, WA 98502-8654 - Phone
- (360) 280-1015
- NPI assigned
- Aug 3, 2021
- Last updated
- Aug 3, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN0017602 | WA | |
| Nurse Practitioner | 363L00000X | AP61201960 | WA | Primary |
Addresses
Primary practice location
3901 Capital Mall Dr SW Ste a
Olympia, WA 98502-8654
Mailing address
5311 Jason CT SE
Lacey, WA 98513-4309
Phone (360) 280-1015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0017602 | WA | MD | Registered Nurse |
| AP61201960 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 1 of Mason County | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Public Hospital District No 1 of Mason County Wa | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Public Hospital District No 1 of Mason County | Current | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
1701 N 13th St
Shelton, WA 98584
Phone (360) 426-2653
901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Interoperability endpoints
- rtaylor597917@direct.multicare.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba Mason Health-Mason General Hospital
- Critical Access Hospital
- Shelton, WA
- NPI 1760568752
-
dba MultiCare Rockwood Imaging
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1285121442
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba Mason Health-Mason Clinic
- Family Medicine Physician
- Shelton, WA
- NPI 1063658953
-
dba Mason General Hospital Mountain View Women's Health
- Clinic/Center
- Shelton, WA
- NPI 1316174774
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tacoma General Allenmore
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1265106298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5311 JASON CT SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985134309",
"telephone_number": "360-280-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 CAPITAL MALL DR SW STE A",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028654",
"telephone_number": "360-280-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "REBECCA",
"middle_name": "SUZANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-03",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN0017602",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61201960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.