Individual provider Active NPI

Laconya Taylor, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1447815311
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R182823 Issued in MD
Practice address
4140 Patterson Ave
Baltimore, MD 21215-2254
Phone
(410) 585-1900
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R182823 MD Primary

Addresses

Primary practice location

4140 Patterson Ave
Baltimore, MD 21215-2254

Mailing address

800 Brickston Rd
Reisterstown, MD 21136-6402
Phone (443) 306-0476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20220428000594 MD Practitioner - Nurse Practitioner 9133516867 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adfinitas Health at Upper Chesapeake LLCGroup PAC ID 6305202540, 77 clinicians
Mep Observation Services LLCGroup PAC ID 2365611845, 42 clinicians

Practice addresses (Care Compare)

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1000

5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 521-2200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Medical Services, Inc CurrentSince Jan 23, 2023 Accepting new patients
Johns Hopkins University CurrentSince May 16, 2022 Accepting new patients
Adfinitas Health at Upper Chesapeake, LLC CurrentSince Jul 1, 2023 Accepting new patients
Johns Hopkins University CurrentSince May 16, 2022 Accepting new patients
Mep Observation Services LLC CurrentSince Feb 1, 2025 Accepting new patients
Adfinitas Health at Upper Chesapeake Harford Memorial LLC CurrentSince Jul 1, 2023 Accepting new patients
Adfinitas Health at Upper Chesapeake Aberdeen LLC CurrentSince Jul 1, 2023 Accepting new patients
Mep Observation Services LLC CurrentSince Feb 1, 2025 Accepting new patients
Johns Hopkins University Current Accepting new patients
Upper Chesapeake Medical Center, Inc. Past Accepting new patients

Locations

660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

600 N Wolfe St
Baltimore, MD 21287

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

501 S Union Ave
Hvre de Grace, MD 21078
Phone (301) 939-2400

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

Interoperability endpoints

  • Direct secure messaging: ltaylor783362@direct.umm.edu
  • Direct secure messaging: ltaylor965275@direct.hopkinsmedicine.org

Organizations & group practices 10

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 4

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": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1447815311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BRICKSTON RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211366402",
            "telephone_number": "443-306-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 PATTERSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152254",
            "telephone_number": "410-585-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LACONYA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R182823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.