NPIMap

Organization Active NPI

New Horizons Nichole Taylor Pmhnp-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gillette, WY
National Provider Identifier
1295291102
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NEW HORIZONS NICHOLE TAYLOR PMHNP-BC
Practice address
2001 W Lakeway Rd Ste C
Gillette, WY 82718-5774
Phone
(307) 670-8048
Fax
(949) 404-6138
NPI assigned
Feb 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Authorized official

Name
Nichole M Taylor, PMHNP-BCNPI 1871062349
Title
Owner
Phone
(307) 363-0883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2001 W Lakeway Rd Ste C
Gillette, WY 82718-5774

Mailing address

2001 W Lakeway Rd Ste C
Gillette, WY 82718-5774
Phone (307) 670-8048

Other names 1

  • New Horizons Nichole Taylor PMHNP-BC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190610001644 WY Part B Supplier - Clinic/Group Practice 9931448073 Receives reassigned benefits from 4 practitioners
Practice locations: Gillette, WY

National Provider Directory

National Provider Directory

Locations

801 E 4th St
Ste 14A
Gillette, WY 82716
Phone (307) 363-0883

2001 W Lakeway Rd
Ste C
Gillette, WY 82718
Phone (307) 670-8048

2001 W Lakeway Rd
Ste D
Gillette, WY 82718
Phone (307) 257-2610

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1295291102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W LAKEWAY RD STE C",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185774",
            "telephone_number": "307-670-8048",
            "fax_number": "949-404-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W LAKEWAY RD STE C",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185774",
            "telephone_number": "307-670-8048",
            "fax_number": "949-404-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS NICHOLE TAYLOR PMHNP-BC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-15",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-363-0883",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Horizons Nichole Taylor PMHNP-BC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Horizons Nichole Taylor PMHNP-BC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.