Diane R. Taylor, CRNP

Key facts

NPI

1265587216

Entity type

Individual (NPI type 1)

Primary specialty

Obstetrics & Gynecology Nurse Practitioner 363LX0001X

License

R146520 (MS)

Practice address

900 Earl Frye Blvd
Suite a
Amory, MS 38821-5507

Phone

(662) 256-9331

Fax

(662) 256-9335

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Mississippi Band of Choctaw Indians Ambulance · Choctaw, MS · NPI 1548358153
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265587216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 MEADOWOOD DR",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388214824",
            "telephone_number": "662-256-9331",
            "fax_number": "662-256-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EARL FRYE BLVD",
            "address_2": "SUITE A",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215507",
            "telephone_number": "662-256-9331",
            "fax_number": "662-256-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DIANE",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MS",
            "license": "R146520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amory, MS

• Teresa Stanley
• Maleah Miller Stephens, OT
• Steve Randle
• Laura Ann Summerford, PHARM.D.
• Amanda Sumrall, FNP-C
• Ericka Nycole Taylor, LCSW
• Terry W Odom Pediatrics
• The Respiratory & Diabetes Care Center
• The Therapy Shop LLC
• Harold R Thomas Jr., MD

All providers in Amory, MS · Obstetrics & Gynecology Nurse Practitioner in Mississippi