Individual provider Active NPI

Kristi Taylor, NP-C

  • Primary Care Nurse Practitioner
  • Quincy, FL
National Provider Identifier
1487030987
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
9461715 Issued in FL
Practice address
178 Lasalle Lefall Dr
Quincy, FL 32351-5278
Phone
(850) 875-3600
NPI assigned
Aug 6, 2015
Last updated
May 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9461715 FL
Family Nurse Practitioner 363LF0000X R881264 MS
Primary Care Nurse Practitioner 363LP2300X R881264 MS
Primary Care Nurse Practitioner 363LP2300X 9461715 FL Primary

Addresses

Primary practice location

178 Lasalle Lefall Dr
Quincy, FL 32351-5278

Mailing address

3516 Whirl a Way TRL
Tallahassee, FL 32309-2011
Phone (601) 319-1646

Other practice location 1

30 Circle J Dr
Ste 1
Laurel, MS 39440-1980
Phone (601) 425-0092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180129001483 FL Practitioner - Nurse Practitioner 3779899653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

178 Lasalle Lefall Dr
Quincy, FL 32351-5278
Phone (850) 875-3600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R881264MSMDFamily Nurse Practitioner
9461715FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc CurrentSince Jan 1, 2018 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc. CurrentSince Jan 1, 2018 Accepting new patients
Tallahassee Memorial Healthcare Inc Past Accepting new patients

Locations

178 Lefall Dr
Quincy, FL 32351
Phone (850) 875-3600

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

2888 Mahan Dr
Ste 6
Tallahassee, FL 32308
Phone (850) 671-4800

Interoperability endpoints

  • Direct secure messaging: kristitaylor@tmhpp.allscriptsdirect.net
  • Direct secure messaging: ktaylor21707@tallahasseememorial.direct-ci.com

Organizations & group practices 5

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 2

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": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1487030987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 WHIRL A WAY TRL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092011",
            "telephone_number": "601-319-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 LASALLE LEFALL DR",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323515278",
            "telephone_number": "850-875-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Circle J Dr",
            "address_2": "Ste 1",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MS",
            "postal_code": "394401980",
            "country_code": "US",
            "telephone_number": "601-425-0092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KRISTI",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9461715",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R881264",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "R881264",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9461715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, FL

Sources for this page

Verify at the official NPI Registry.