Individual provider Active NPI

Krista L Taylor, FNP

  • Family Nurse Practitioner
  • Colusa, CA
National Provider Identifier
1285686808
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
466184 Issued in CA
Practice address
173 E Webster St
Colusa, CA 95932-2949
Phone
(530) 458-8050
Fax
(530) 458-5936
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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 466184 CA Primary

Addresses

Primary practice location

173 E Webster St
Colusa, CA 95932-2949

Mailing address

2967 Davison CT
Ste a
Colusa, CA 95932-3285
Phone (530) 458-8050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20050919000963 CA Practitioner - Nurse Practitioner 5890729933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
466184CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colusa Medical Center, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: krista.taylor.1@19854.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1285686808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2967 DAVISON CT",
            "address_2": "STE A",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959323285",
            "telephone_number": "530-458-8050",
            "fax_number": "530-458-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 E WEBSTER ST",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959322949",
            "telephone_number": "530-458-8050",
            "fax_number": "530-458-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KRISTA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "466184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colusa, CA

Sources for this page

Verify at the official NPI Registry.