Rebecca Rachele Taylor, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F05180384 Issued in IN

Practice address

3105 S Sare Rd Ste 102
Bloomington, IN 47401-0052

Phone

(126) 768-8588

Fax

(126) 768-8588

NPI assigned

Jun 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rebecca Rachele Johnson Former name

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• John Labban MD PC

  dba Women's Health

  • Specialist
  • Bloomington, IN
  • NPI 1508040593
  Medicare reassignment NPD
• Metro Infectious Disease Consultants, LLC

  dba Midc, LLC

  • Infectious Disease Physician
  • Burr Ridge, IL
  • NPI 1235125717

  IN

  Medicare reassignment

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1396239968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 CRYSTAL CT",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474216777",
            "telephone_number": "317-431-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 S SARE RD STE 102",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474010052",
            "telephone_number": "126-768-8588",
            "fax_number": "126-768-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "REBECCA",
        "middle_name": "RACHELE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F05180384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "14250607",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "JOHNSON",
            "middle_name": "RACHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenda D Taylor, MS, PT
• Kelice Taylor
• Kerrie Elizabeth Taylor, LCSW LSSW
• Kyle Taylor, RBT
• Kyle Wayne Taylor, D.D.S.
• Ryan Taylor
• Hanna Teague
• Kathilyn N Teague, OTRL, CHT
• Rory Teel
• Jacquelin B Telesford, MD

• Family Nurse Practitioner in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.