Active NPI
Jessica L Taylor, NP
- Family Nurse Practitioner
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024173708
- Practice address
- 10620 Spotsylvania Ave
Fredericksburg, VA 22408-2637 - Phone
- (540) 710-1086
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024173708 | VA | Primary |
| Registered Nurse | 163W00000X | RN134886 | AZ |
Addresses
Primary practice location
10620 Spotsylvania Ave
Fredericksburg, VA 22408-2637
Mailing address
385 Garrisonville Rd
Ste 205
Stafford, VA 22554-1599
Phone (540) 710-1086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156167 | Other | AZ | AHCCCS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10 Stafford Lakes Pkwy
Suite 102
Stafford, VA 22406-7304
Phone (540) 737-6145
4535 Spotsylvania Pkwy
Fredericksburg, VA 22408-7768
Phone (540) 710-1086
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN134886 | AZ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MWHC Urgent Care LLC | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| MWHC Urgent Care LLC | Current | Accepting new patients | |
| MWHC Urgent Care LLC | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Current | Accepting new patients |
Locations
4900 Plank Rd
#101
Fredericksburg, VA 22407
Phone (540) 741-0679
1340 Central Park Blvd
Ste 100
Fredericksburg, VA 22401
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
10 Stafford Lakes Pkwy
Ste 102
Fredericksburg, VA 22406
Phone (540) 737-6144
1101 Sam Perry Blvd
Ste 121
Fredericksburg, VA 22401
Phone (540) 368-5350
4535 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 374-3160
10620 Spotsylvania Ave
Fredericksburg, VA 22408
Phone (540) 374-3150
11131 Journal Pkwy
Ste A
King George, VA 22485
Phone (540) 709-5173
Interoperability endpoints
- jtaylor14474@marywashingtonhealthcare.direct-ci.com
- jtaylor@pinnacleskin.emadirect.md
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
-
dba Mary Washington Urgent Care
- Urgent Care Clinic/Center
- King George, VA
- NPI 1306405709
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
-
dba Mary Washington Urgent Care
- Urgent Care Clinic/Center
- Stafford, VA
- NPI 1003446402
-
dba Mary Washington Urgent Care
- Urgent Care Clinic/Center
- Stafford, VA
- NPI 1629846951
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
dba Mary Washington Cardiology
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
dba Mary Washington Home Health Agency
- Home Health Agency
- Fredericksburg, VA
- NPI 1407814163
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1457404287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 GARRISONVILLE RD",
"address_2": "STE 205",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225541599",
"telephone_number": "540-710-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10620 SPOTSYLVANIA AVE",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224082637",
"telephone_number": "540-710-1086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JESSICA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024173708",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN134886",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS NUMBER",
"identifier": "156167",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.