Individual provider Active NPI

Gloria Jean Taylor, APRN

  • Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1356326896
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3003783 Issued in KY
Practice address
1419 Cumberland Falls Hwy
Corbin, KY 40701-2722
Phone
(606) 528-4481
Fax
(606) 528-2857
NPI assigned
Dec 7, 2005
Last updated
Feb 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3003783 KY Primary

Addresses

Primary practice location

1419 Cumberland Falls Hwy
Corbin, KY 40701-2722

Mailing address

1419 Cumberland Falls Hwy
Corbin, KY 40701-2722
Phone (606) 528-4481

Other identifiers 2

IdentifierTypeStateIssuer
78010329MedicaidKY
P00879825OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20050330000214 KY Practitioner - Nurse Practitioner 3072569359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor and Clifton Family HealthcareGroup PAC ID 5991133803, 3 clinicians

Practice addresses (Care Compare)

14 Moonbow PLZ
Suite 2
Corbin, KY 40701-8910
Phone (606) 215-3072

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3003783KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor and Clifton Family Healthcare CurrentSince Jan 6, 2020 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner Past Accepting new patients

Locations

14 Moonbow Plz
Ste 2
Corbin, KY 40701
Phone (606) 215-3072

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Taylor Family Healthcare PLLCCorbin, KY, CCN B03818 Rural health clinic 5% Or Greater Direct Ownership Interest (50%)
Corporate Officer
W-2 Managing Employee (50%)
Operational/Managerial Control
Oct 24, 2019
Oct 24, 2019
Oct 24, 2019
Oct 24, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1356326896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012722",
            "telephone_number": "606-528-4481",
            "fax_number": "606-528-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012722",
            "telephone_number": "606-528-4481",
            "fax_number": "606-528-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GLORIA",
        "middle_name": "JEAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3003783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78010329",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00879825",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.