Individual provider Active NPI

Timothy Ryan Taylor, APRN, NP-C

  • Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1457812539
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3013250 Issued in KY
Practice address
1000 Ashland Dr Ste 301
Ashland, KY 41101-7097
Phone
(606) 326-0322
NPI assigned
Mar 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3013250 KY Primary

Addresses

Primary practice location

1000 Ashland Dr Ste 301
Ashland, KY 41101-7097

Mailing address

2219 Careys Run Pond Creek Rd
West Portsmouth, OH 45663-8813
Phone (740) 876-9049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20190424000282 KY Practitioner - Nurse Practitioner 9133461197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional Psychotherapy Services IncGroup PAC ID 2668444357, 6 clinicians

Practice addresses (Care Compare)

1000 Ashland Dr
Suite 301
Ashland, KY 41101-7097
Phone (606) 326-0322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Psychotherapy Services, Inc. CurrentSince May 1, 2019 Accepting new patients

Locations

1000 Ashland Dr
Ste 301
Ashland, KY 41101
Phone (606) 326-0322

332 23rd St
Ashland, KY 41101
Phone (606) 324-9444

Organizations & group practices 1

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1457812539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 CAREYS RUN POND CREEK RD",
            "city": "WEST PORTSMOUTH",
            "state": "OH",
            "postal_code": "456638813",
            "telephone_number": "740-876-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASHLAND DR STE 301",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017097",
            "telephone_number": "606-326-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TIMOTHY",
        "middle_name": "RYAN",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3013250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.