Individual provider Active NPI

Jouel Taylor

  • Nurse Practitioner
  • Clayton, NC
National Provider Identifier
1487108445
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
239771 Issued in NC
Practice address
104 Medspring Dr Ste 100
Clayton, NC 27520-9687
Phone
(919) 359-3500
NPI assigned
Aug 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5008824 NC
Nurse Practitioner 363L00000X 239771 NC Primary

Addresses

Primary practice location

104 Medspring Dr Ste 100
Clayton, NC 27520-9687

Mailing address

2406 Blue Ridge Rd Ste 100
Raleigh, NC 27607-6692
Phone (919) 786-5001

Other practice location 1

2406 Blue Ridge Rd Ste 100
Raleigh, NC 27607-6692
Phone (919) 786-5001

Other identifiers 1

IdentifierTypeStateIssuer
1487108445MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
239771NCMDNurse Practitioner
5008824NCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffers Mann & Artman Pediatric & Adolesent Medicine PA CurrentSince Mar 13, 2022 Accepting new patients
Greenville Pediatric Services, Inc Past Accepting new patients

Locations

104 Medspring Dr
#100
Clayton, NC 27520
Phone (919) 359-3500

2406 Blue Ridge Rd
Ste 100
Raleigh, NC 27607
Phone (919) 786-5001

Interoperability endpoints

  • Direct secure messaging: joueltaylor@jmp.allscriptsdirect.net

Organizations & group practices 2

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": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1487108445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 BLUE RIDGE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076692",
            "telephone_number": "919-786-5001",
            "fax_number": "919-786-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MEDSPRING DR STE 100",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275209687",
            "telephone_number": "919-359-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2406 Blue Ridge Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076692",
            "country_code": "US",
            "telephone_number": "919-786-5001",
            "fax_number": "919-786-5051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JOUEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5008824",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "239771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487108445",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.