Individual provider Active NPI

Rachel McCollum Taylor, DNP, FNP-C

  • Family Nurse Practitioner
  • Dyersburg, TN
National Provider Identifier
1376245902
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33644 Issued in TN
Practice address
1716 Parr Ave Ste F
Dyersburg, TN 38024-2074
Phone
(731) 285-1933
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 33644 TN Primary

Addresses

Primary practice location

1716 Parr Ave Ste F
Dyersburg, TN 38024-2074

Mailing address

1716 Parr Ave Ste F
Dyersburg, TN 38024-2074

Other names 1

  • Ms. Rachel Lynnn McCollum Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230503002648 TN Practitioner - Nurse Practitioner 2961867510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WT Medical AssociatesGroup PAC ID 1951650613, 64 clinicians

Practice addresses (Care Compare)

1716 Parr Ave
Suite F
Dyersburg, TN 38024-2074
Phone (731) 285-1933

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WT Medical Associates CurrentSince Apr 17, 2023 Accepting new patients
WT Medical Associates CurrentSince Apr 17, 2023 Accepting new patients
WT Medical Associates Family Current Accepting new patients

Locations

420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133

1716 Parr Ave
Ste F
Dyersburg, TN 38024
Phone (731) 285-1933

72 Physicians Dr
Jackson, TN 38305
Phone (731) 660-6395

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

Interoperability endpoints

  • Direct secure messaging: rtaylor27389@directepic.wth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1376245902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 PARR AVE STE F",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 PARR AVE STE F",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242074",
            "telephone_number": "731-285-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RACHEL",
        "middle_name": "MCCOLLUM",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "MCCOLLUM",
            "middle_name": "LYNNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dyersburg, TN

Sources for this page

Verify at the official NPI Registry.