Individual provider Active NPI

Stephen M Taylor, A.P.R.N.,FNP-C, D.C.

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1346240645
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11012467 Issued in FL
Practice address
4150 N Armenia Ave Ste 102
Tampa, FL 33607-6448
Phone
(813) 877-6900
Fax
(813) 877-6941
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4512 OK
Chiropractor 111N00000X 6788 TX
Wound Care Registered Nurse 163WW0000X 9504823 FL
Family Nurse Practitioner 363LF0000X 207940 OK
Family Nurse Practitioner 363LF0000X GAA-NP002160 GA
Family Nurse Practitioner 363LF0000X 11012467 FL Primary

Addresses

Primary practice location

4150 N Armenia Ave Ste 102
Tampa, FL 33607-6448

Mailing address

4150 N Armenia Ave Ste 102
Tampa, FL 33607-6448
Phone (813) 877-6900

Other practice location 1

3000 Langley Ave Ste 402
Pensacola, FL 32504-4702
Phone (813) 215-4356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OK2 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
I20230413002457 FL Practitioner - Nurse Practitioner 3072683044
I20240122000781 OK Practitioner - Nurse Practitioner 3072683044 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4512OKMDClinical Social Worker
9504823FLMDWound Care Registered Nurse
11012467FLMDFamily Nurse Practitioner
GAA-NP002160GAMDFamily Nurse Practitioner
207940OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

10601 S Western Ave
Ste 100
Oklahoma City, OK 73170

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 1

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1346240645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 N ARMENIA AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076448",
            "telephone_number": "813-877-6900",
            "fax_number": "813-877-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 N ARMENIA AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076448",
            "telephone_number": "813-877-6900",
            "fax_number": "813-877-6941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Langley Ave Ste 402",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325044702",
            "country_code": "US",
            "telephone_number": "813-215-4356",
            "fax_number": "813-877-6941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "A.P.R.N.,FNP-C, D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4512",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6788",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "FL",
            "license": "9504823",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "207940",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP002160",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11012467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.