Individual provider Active NPI

Jessica L Taylor, NP

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1457404287
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173708 Issued in VA
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

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
156167OtherAZAHCCCS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160916002109 VA Practitioner - Nurse Practitioner 6204123326 Reassigns benefits to 3 organizations
I20210901000618 DC Practitioner - Nurse Practitioner 6204123326

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
MWHC Urgent Care LLCGroup PAC ID 8921338427, 20 clinicians

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

LicenseStateTypeSpecialty
RN134886AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
MWHC Urgent Care LLC CurrentSince Nov 29, 2021 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Aug 8, 2016 Accepting new patients
MWHC Urgent Care LLC Current Accepting new patients
MWHC Urgent Care LLC CurrentSince Nov 29, 2021 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Aug 8, 2016 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

  • Direct secure messaging: jtaylor14474@marywashingtonhealthcare.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.