Individual provider Active NPI

Anastasia Taylor, FNP

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1316338676
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
772041 Issued in TX
Practice address
6016 E University Blvd
119
Dallas, TX 75206
Phone
(214) 334-5595
NPI assigned
Feb 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 772041 TX
Family Nurse Practitioner 363LF0000X 09723 LA
Nurse Practitioner 363L00000X 772041 TX Primary

Addresses

Primary practice location

6016 E University Blvd
119
Dallas, TX 75206

Mailing address

10111 Andre Dr
Irving, TX 75063-5933
Phone (214) 334-5595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150618000750 TX Practitioner - Nurse Practitioner 2466763313 Reassigns benefits to 2 organizations
I20180814002971 LA Practitioner - Nurse Practitioner 2466763313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arlington Neurosurgeons, PLLCGroup PAC ID 8022333582, 46 clinicians

Practice addresses (Care Compare)

6020 W Parker Rd
TX Health Center for Diagnostics
Plano, TX 75093-8171
Phone (972) 403-2700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
772041TXMDNurse Practitioner
09723LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Lake Emergency Group, LLC Nurse Practitioner CurrentSince Jun 3, 2019 Accepting new patients
Primamed Physicians PLLC CurrentSince Nov 21, 2023 Accepting new patients
Arlington Neurosurgeons, PLLC CurrentSince Mar 18, 2024 Accepting new patients
Primamed Physicians PLLC CurrentSince Nov 21, 2023 Accepting new patients
Citimed, P.a. Past Accepting new patients

Locations

2510 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone (318) 212-5000

8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

6020 W Parker Rd
Plano, TX 75093
Phone (972) 403-2700

3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581

6800 Scenic Dr
#1550
Rowlett, TX 75088
Phone (972) 412-2273

231 S Collins Rd
Sunnyvale, TX 75182
Phone (972) 203-6240

Organizations & group practices 5

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": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1316338676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 ANDRE DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635933",
            "telephone_number": "214-334-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6016 E UNIVERSITY BLVD",
            "address_2": "119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75206",
            "telephone_number": "214-334-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANASTASIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "772041",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "09723",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "772041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.