Jacquise Taliaferro, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1-111430 Issued in AL

Practice address

3065 Dauphin St
Mobile, AL 36606-4040

Phone

(251) 712-7017

Fax

(251) 220-5536

NPI assigned

Jul 13, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Oak Street Health Physicians Group of Alabama, LLCGroup PAC ID 9133538432, 28 clinicians

Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians

Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacquise.taliaferro.p2@direct.alegiscare.nextgenshare.com

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.

• Oak Street Health Physicians Group of Alabama, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1770161432
  Medicare reassignment Care Compare group NPD
• Daniel Funsch Jr, M.D., P.C.

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1316784580

  AL

  Medicare reassignment Care Compare group
• Ivy Medical Group PLLC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1700558798

  AL

  Medicare reassignment Care Compare group
• Franklin Primary Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1679532303
  Medicare reassignment NPD
• University of South Alabama

  dba USA Student Health Center

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1992746838
  Medicare reassignment NPD
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1336748300

  AL

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AL

  Medicare reassignment NPD
• Onecall Telemed

  • Clinic/Center
  • Mobile, AL
  • NPI 1669175907
  NPD Authorized official
• Dr Rebman BH LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • New York, NY
  • NPI 1114894540

  AL

  Medicare reassignment
• Dr Rebman Medical PA

  • Family Medicine Physician
  • Miami, FL
  • NPI 1669276689

  AL

  Medicare reassignment
• Franklin Primary Health Center, Inc

  dba Franklin Evergreen Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Evergreen, AL
  • NPI 1346733821
  NPD
• University of South Alabama

  • Clinical Medical Laboratory
  • Mobile, AL
  • NPI 1497859052
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1275888455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746063",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746063",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064040",
            "telephone_number": "251-712-7017",
            "fax_number": "251-220-5536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1687 Center Point Pkwy Ste 121",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352155525",
            "country_code": "US",
            "telephone_number": "205-557-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALIAFERRO",
        "first_name": "JACQUISE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-111430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shontal Monique Taite, LPN
• Tiffany Taite, LCSW
• Yolanda Marie Taite
• Rachelanne Talatala
• Christina Marie Talerico, M.D.
• Adam C Talley, MD
• Russell Leslie Tamasco
• Perrin Leanne Tamblyn, MS, RD, LDN
• Chrysoula Tampasis, OD
• Perfecto Tan, LPC

• Adult Health Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Adult Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.

Verify at the official NPI Registry.