Individual provider Active NPI

Dena Taylor, RN, MSN, CPNP

  • Pediatric Nurse Practitioner
  • Chantilly, VA
National Provider Identifier
1396876520
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0001170024 Issued in VA
Practice address
3914 Centreville Rd
Chantilly, VA 20151-3289
Phone
(703) 481-8615
Fax
(703) 481-8615
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 0024165936 VA
Pediatric Nurse Practitioner 363LP0200X 0001170024 VA Primary

Addresses

Primary practice location

3914 Centreville Rd
Chantilly, VA 20151-3289

Mailing address

3914 Centreville Rd
Chantilly, VA 20151-3289

Other identifiers 1

IdentifierTypeStateIssuer
1396876520MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0024165936VAMDLicensed Practical Nurse
0001170024VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Pediatric Group, PC Current Accepting new patients
Trusted Doctors LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dena.taylor@tpgp.eclinicaldirectplus.com
  • Direct secure messaging: denataylor@tpedg.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1396876520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 CENTREVILLE RD",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 CENTREVILLE RD",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513289",
            "telephone_number": "703-481-8615",
            "fax_number": "703-481-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DENA",
        "credential": "RN, MSN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0024165936",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0001170024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396876520",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.