Individual provider Active NPI

Erica A Taylor, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1457570822
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP.021322 Issued in OH
Practice address
5600 Kentshire Dr
Ste 101
Dayton, OH 45440-2989
Phone
(937) 734-8333
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.021322 OH
Family Nurse Practitioner 363LF0000X CNP.021322 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP.021322 OH Primary

Addresses

Primary practice location

5600 Kentshire Dr
Ste 101
Dayton, OH 45440-2989

Mailing address

5600 Kentshire Dr
# 101
Kettering, OH 45440-2989
Phone (937) 496-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180529002547 OH Practitioner - Nurse Practitioner 6103181946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woodstream WellnessGroup PAC ID 8527462506, 55 clinicians

Practice addresses (Care Compare)

9049 Springboro Pike
Miamisburg, OH 45342-4926
Phone (937) 759-0545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP.021322OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wink of Hope Counseling, LLC CurrentSince Jan 22, 2023 Accepting new patients
Another Chance Therapy Services LLC CurrentSince Jan 1, 2023 Accepting new patients
WS Wellness LLC Psychiatric/Mental Health CurrentSince May 1, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1911 Old Fairfield Rd
Ste 310
Beavercreek, OH 45432
Phone (937) 759-0545

5600 Kentshire Dr
Ste 101
Dayton, OH 45440
Phone (937) 234-7830

9049 Springboro Pike
Miamisburg, OH 45342
Phone (937) 759-0545

9049 Springboro Pike
Ste A
Miamisburg, OH 45342
Phone (937) 759-0545

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1457570822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 KENTSHIRE DR",
            "address_2": "# 101",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454402989",
            "telephone_number": "937-496-2000",
            "fax_number": "937-999-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 KENTSHIRE DR",
            "address_2": "STE 101",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454402989",
            "telephone_number": "937-734-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ERICA",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.021322",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP.021322",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "CNP.021322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.