Elizabeth Herzan-Taylor, APN,FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209-001275 Issued in IL

Practice address

600 S Paulina St
Chicago, IL 60612-3806

Phone

(312) 942-6271

NPI assigned

Aug 13, 2008

Last updated

Aug 13, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.herzan-taylor.1@3547.direct.athenahealth.com

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.

• Near North Health Service Corporation

  dba Winfield Moody Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1821079088
  Medicare reassignment NPD
• Near North Health Service Corporation

  dba Cottage View Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1073594297
  NPD
• Near North Health Service Corporation

  dba Near North Health Family Health Center at Oakwood Shores

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1740166255
  NPD

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1336395078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 N KOSTNER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PAULINA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123806",
            "telephone_number": "312-942-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZAN-TAYLOR",
        "first_name": "ELIZABETH",
        "credential": "APN,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-001275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel Paul Hertz, MS, LMFT, LSW.
• Paul Hertz, M.D.
• Alexandra M Herweck, MD, MPH
• Steven Herwick, MD
• Bradley Herynk, M.D.
• Amanda Irene Herzer, D.C.
• Devon Max Herzoff, LCSW
• Malcolm Dugro Herzog, D.P.M.
• Martha L. Herzog, RN BSN
• Michelle Herzog, LMFT, CST

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.