Angelique B. Taylor, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

NP 20052 Issued in CA

Practice address

819 Foothill Blvd
Oakland, CA 94606-3011

Phone

(510) 286-8300

Fax

(510) 286-8311

NPI assigned

Mar 23, 2011

Last updated

Mar 23, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Harriet Tubman Medical Office

  dba Tolbert J. Small, M.D.

  • Specialist
  • Oakland, CA
  • NPI 1245325349
  NPD (past)

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1316246770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 FOOTHILL BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946063011",
            "telephone_number": "510-286-8300",
            "fax_number": "510-286-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 FOOTHILL BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946063011",
            "telephone_number": "510-286-8300",
            "fax_number": "510-286-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANGELIQUE",
        "middle_name": "B.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NP 20052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Taxy, PSY.D
• Taylor & Thornburg Physical Therapy
• Taylor & Thornburg Physical Therapy, Inc. (Fyzical Therapy & Balance CTR Oakland)
• Kortnei Artisha Taylor-Glass
• Irene Taylor-White
• Bonnie L Taylor, PA
• Bronche Jerard Taylor I
• Carolina Taylor
• Caroline Drye Taylor, PT
• Christina Maey Taylor, ASW

• Primary Care Nurse Practitioner in Oakland, CA
• Providers in Oakland, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.