Individual provider Active NPI

Bonnie Carol Taylor, NP-C

  • Adult Health Nurse Practitioner
  • Galax, VA
National Provider Identifier
1427280619
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024168436 Issued in VA
Practice address
961 E Stuart Dr
Galax, VA 24333-2407
Phone
(276) 236-9953
Fax
(276) 236-6084
NPI assigned
Aug 20, 2009
Last updated
Oct 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024168436 VA Primary

Addresses

Primary practice location

961 E Stuart Dr
Galax, VA 24333-2407

Mailing address

PO Box 1337
Galax, VA 24333-1337
Phone (276) 238-3566

Other names 1

  • Bonnie Carol Harrington Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090923000839 VA Practitioner - Nurse Practitioner 8426104944 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024168436VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Twin County Physician Practices LLC CurrentSince Apr 1, 2012 Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Apr 1, 2012 Accepting new patients
DLP Twin County Physician Practices LLC Current Accepting new patients
Twin County Family Care Centers Inc Past Accepting new patients

Locations

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

961 E Stuart Dr
Galax, VA 24333
Phone (276) 236-3931

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1427280619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1337",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243331337",
            "telephone_number": "276-238-3566",
            "fax_number": "276-238-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 E STUART DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332407",
            "telephone_number": "276-236-9953",
            "fax_number": "276-236-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BONNIE",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024168436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "HARRINGTON",
            "middle_name": "CAROL",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Galax, VA

Sources for this page

Verify at the official NPI Registry.