Individual provider Active NPI

Tara Anne Taylor, FNP

  • Family Nurse Practitioner
  • Frisco, CO
National Provider Identifier
1427549229
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0993823 Issued in CO
Practice address
730 North Summit Blvd
Suite 101-B
Frisco, CO 80443
Phone
(970) 668-1616
Fax
(970) 668-5650
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 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 0993823 CO Primary

Addresses

Primary practice location

730 North Summit Blvd
Suite 101-B
Frisco, CO 80443

Mailing address

PO Box 4250
Frisco, CO 80443-4250
Phone (970) 668-1616

Other practice location 1

360 Peak One Dr Ste 100
Frisco, CO 80443-5948
Phone (970) 668-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20180822003216 CO Practitioner - Nurse Practitioner 4183973266 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0993823COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Community Care Clinic, Inc. CurrentSince Jan 20, 2022 Accepting new patients
Christine Ebert Santos, PC Family Medicine CurrentSince Jul 7, 2018 Accepting new patients
Summit Community Care Clinic, Inc. CurrentSince Jan 20, 2022 Accepting new patients
Summit Community Care Clinic, Inc. Past Accepting new patients

Locations

360 Peak One Dr
Frisco, CO 80443
Phone (970) 668-3478

360 Peak One Dr
Ste 100
Frisco, CO 80443
Phone (970) 668-4050

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1427549229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4250",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804434250",
            "telephone_number": "970-668-1616",
            "fax_number": "970-668-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 NORTH SUMMIT BLVD",
            "address_2": "SUITE 101-B",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "80443",
            "telephone_number": "970-668-1616",
            "fax_number": "970-668-5650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Peak One Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "CO",
            "postal_code": "804435948",
            "country_code": "US",
            "telephone_number": "970-668-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TARA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0993823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, CO

Sources for this page

Verify at the official NPI Registry.