Active NPI
Stephen M Taylor, A.P.R.N.,FNP-C, D.C.
- Family Nurse Practitioner
- Tampa, FL
National Provider Identifier
1346240645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11012467
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4512 | OK | MD | Clinical Social Worker |
| 9504823 | FL | MD | Wound Care Registered Nurse |
| 11012467 | FL | MD | Family Nurse Practitioner |
| GAA-NP002160 | GA | MD | Family Nurse Practitioner |
| 207940 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.