Individual provider Active NPI

Yvonne M Taylor, APRN, BC

  • Gerontology Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1295842011
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704220247 Issued in MI
Practice address
4303 Woodhall St
Detroit, MI 48224-2222
Phone
(313) 671-3252
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704220247 MI Primary

Addresses

Primary practice location

4303 Woodhall St
Detroit, MI 48224-2222

Mailing address

4303 Woodhall St
Detroit, MI 48224-2222
Phone (313) 671-3252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20090327000490 MI Practitioner - Nurse Practitioner 2567529068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Care Team-Primary Care Providers PLLCGroup PAC ID 9133588346, 8 clinicians

Practice addresses (Care Compare)

30600 Northwestern Hwy
Farmington Hills, MI 48334-3161
Phone (844) 475-9526

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Premier Geriatrics PLLC CurrentSince Jan 11, 2017 Accepting new patients
The Care Team-Primary Care Providers PLLC CurrentSince Sep 10, 2023 Accepting new patients
Journey Care Consulting, LLC Current Accepting new patients
Stat Lab Express LLC CurrentSince Mar 4, 2021 Accepting new patients

Locations

2328 E 7 Mile Rd
Detroit, MI 48234
Phone (313) 305-4008

30600 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 957-1999

30600 Northwestern Hwy
Ste 245
Farmington Hills, MI 48334
Phone (248) 762-4668

29877 Telegraph Rd
Ste 2
Southfield, MI 48034

29877 Telegraph Rd
Ste 200
Southfield, MI 48034
Phone (248) 354-0730

Organizations & group practices 4

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1295842011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 WOODHALL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242222",
            "telephone_number": "313-671-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 WOODHALL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242222",
            "telephone_number": "313-671-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "YVONNE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704220247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.