Individual provider Active NPI

Taylor Conner, NP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1295276400
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03170309 Issued in KY
Practice address
1550 Raydale Dr
Louisville, KY 40219-5031
Phone
(502) 428-1032
NPI assigned
Mar 20, 2017
Last updated
Mar 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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 F03170309 KY Primary

Addresses

Primary practice location

1550 Raydale Dr
Louisville, KY 40219-5031

Mailing address

1440 Collings Hill Rd
Lebanon Junction, KY 40150-8138
Phone (502) 428-1032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20170504001463 KY Practitioner - Nurse Practitioner 1153608989 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F03170309KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Eldercare Physician Services LLC CurrentSince Aug 26, 2023 Accepting new patients
Caremed Health Solutions of Kentucky, LLC CurrentSince Jul 17, 2023 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Aug 26, 2023 Accepting new patients

Locations

1820 Oakview Rd
Ashland, KY 41101
Phone (606) 325-5200

1040 US Highway 127 S
Frankfort, KY 40601
Phone (502) 229-1425

1550 Raydale Dr
Louisville, KY 40219
Phone (502) 968-6600

4604 Lowe Rd
Louisville, KY 40220
Phone (502) 403-1620

65 Ramapo Valley Rd
Ste 102B
Mahwah, NJ 07430
Phone (614) 774-7988

300 Tice Blvd
Ste 175
Woodcliff Lake, NJ 07677

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1295276400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 COLLINGS HILL RD",
            "city": "LEBANON JUNCTION",
            "state": "KY",
            "postal_code": "401508138",
            "telephone_number": "502-428-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 RAYDALE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402195031",
            "telephone_number": "502-428-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "F03170309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.