Shelly Lynn Taylor, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12765 Issued in CT

Practice address

300 Seaside Ave
Milford, CT 06460-4603

Phone

(203) 688-1734

Fax

(475) 246-9106

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, KY, NH, CT, WV5 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 5

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City Hospital Inc 155 clinicians

Curana Health of Kentucky LLC 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lifeline Home Health of Western Kentucky Home health agency, Hopkinsville, KY, CCN 187300
• Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008
• Jefferson Medical Center Hospital, Ranson, WV, CCN 511319

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles (12 of 14)

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Curana Health of Kentucky LLC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1124328323

  KY

  Medicare reassignment Care Compare group NPD
• City Hospital Inc

  • Anesthesiology Physician
  • Martinsburg, WV
  • NPI 1942503164

  WV

  Medicare reassignment Care Compare group
• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351

  CT

  Medicare reassignment NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880

  FL

  Medicare reassignment NPD
• Owensboro Health Medical Group Inc

  • Surgery Physician
  • Greenville, KY
  • NPI 1235518242

  KY

  Medicare reassignment NPD
• Pai Participant 1 LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1093371312

  NH

  Medicare reassignment
• City Hospital Inc

  • Psychiatric Hospital Unit
  • Martinsburg, WV
  • NPI 1851539381
  Care Compare group
• City Hospital, Inc

  • General Acute Care Hospital
  • Martinsburg, WV
  • NPI 1457389249
  Care Compare group
• City Hospital, Inc.

  • Skilled Nursing Facility
  • Martinsburg, WV
  • NPI 1487745436
  Care Compare group
• Mill Hill Medical Consultants Inc

  • Hospitalist Physician
  • New Haven, CT
  • NPI 1952624769
  NPD
• City Hospital, Inc.

  • Internal Medicine Physician
  • Martinsburg, WV
  • NPI 1194141499
  NPD
• City Hospital, Inc.

  • Internal Medicine Physician
  • Ranson, WV
  • NPI 1336657493
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• City Hospital, Inc

  • General Acute Care Hospital
  • Martinsburg, WV
  • NPI 1457389249

  Hospital

  Care Compare affiliation
• Gamma Acquisition, Inc.

  • Home Health Agency
  • Hopkinsville, KY
  • NPI 1851324297
  Care Compare affiliation
• Jefferson Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Ranson, WV
  • NPI 1104242569

  Hospital

  Care Compare affiliation
• Jefferson Memorial Hospital

  • Internal Medicine Physician
  • Ranson, WV
  • NPI 1316364953

  Hospital

  Care Compare affiliation
• Jefferson Memorial Hospital

  • Critical Access Hospital
  • Ranson, WV
  • NPI 1891722377

  Hospital

  Care Compare affiliation
• Jefferson Memorial Hospital

  • Anesthesiology Physician
  • Ranson, WV
  • NPI 1982704961

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1346375219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 ARNDELL RD",
            "city": "ROCHESTER",
            "state": "KY",
            "postal_code": "422738359",
            "telephone_number": "239-848-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SEASIDE AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604603",
            "telephone_number": "203-688-1734",
            "fax_number": "475-246-9106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423039811",
            "country_code": "US",
            "telephone_number": "270-417-4700",
            "fax_number": "270-417-4709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 Wallace Ave",
            "address_purpose": "LOCATION",
            "city": "Leitchfield",
            "state": "KY",
            "postal_code": "427542414",
            "country_code": "US",
            "telephone_number": "270-259-9555",
            "fax_number": "270-259-1669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SHELLY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015904",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP 2879292",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3015904",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ARNP 2879292",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "staylor117001@direct.owensborohealth.org",
            "affiliation": "N",
            "endpointDescription": "Owensboro Health",
            "address_1": "1201 Pleasant Valley Rd",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423039811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jay Christopher Taylor
• Tiffany Teixeira, APRN
• Liz Marie Tejeda
• Christopher Tekin
• Brian Anthony Tessier, LCSW
• The Anchored Group LLC

• All providers in Milford, CT
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.