Individual provider Active NPI

Taylor Leigh Pacheco, FNP-C

  • Family Nurse Practitioner
  • Canton, MA
National Provider Identifier
1467043661
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2308257 Issued in MA
Practice address
45 Dan Rd # 45
Canton, MA 02021-2852
Phone
(781) 867-2050
NPI assigned
Jan 30, 2021
Last updated
Jan 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2308257 MA Primary

Addresses

Primary practice location

45 Dan Rd # 45
Canton, MA 02021-2852

Mailing address

117 Stackhouse St Apt 1
South Dartmouth, MA 02748-1905
Phone (508) 496-7451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210331001902 MA Practitioner - Nurse Practitioner 3678980042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aco Health Solutions, LLCGroup PAC ID 2668665480, 12 clinicians

Practice addresses (Care Compare)

237 A State Rd
North Dartmouth, MA 02747-2612
Phone (508) 991-9188

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2308257MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Healthcare Services, LLC Past Accepting new patients

Organizations & group practices 3

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": "1611964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1467043661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 STACKHOUSE ST APT 1",
            "city": "SOUTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027481905",
            "telephone_number": "508-496-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DAN RD # 45",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212852",
            "telephone_number": "781-867-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "TAYLOR",
        "middle_name": "LEIGH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-30",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2308257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

Verify at the official NPI Registry.