Active NPI
Noir Well Mobile Adult Health, NP, PC
- Primary Care Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1487379475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- NOIR WELL MOBILE ADULT HEALTH, NP, PC
- Practice address
- 412 Evergreen Ave FL 1
Brooklyn, NY 11221-6606 - Phone
- (347) 413-5025
- NPI assigned
- Oct 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Annita Malinda Tayor, NP
- Title
- NP/Owner
- Phone
- (718) 753-9141
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Public Health & General Preventive Medicine Physician | 2083P0901X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Community Health Nurse Practitioner | 363LC1500X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Gerontology Nurse Practitioner | 363LG0600X | |||
| Pediatric Nurse Practitioner | 363LP0200X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Primary Care Nurse Practitioner | 363LP2300X | Primary | ||
| Women's Health Nurse Practitioner | 363LW0102X | |||
| Occupational Health Nurse Practitioner | 363LX0106X |
Addresses
Primary practice location
412 Evergreen Ave FL 1
Brooklyn, NY 11221-6606
Mailing address
2978 Avenue W Apt 3B
Brooklyn, NY 11229-5317
Phone (347) 413-5025
Other names 1
- Noir Well Health
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2326360 | Noir Well Mobile Adult Health NP PC | Certificate of waiver | Jul 1, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Brooklyn, NY
- NPI 1417224817
Licensed Practical Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1487379475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2978 AVENUE W APT 3B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112295317",
"telephone_number": "347-413-5025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 EVERGREEN AVE FL 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112216606",
"telephone_number": "347-413-5025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOIR WELL MOBILE ADULT HEALTH, NP, PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-11",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "TAYOR",
"authorized_official_first_name": "ANNITA",
"authorized_official_middle_name": "MALINDA",
"authorized_official_title_or_position": "NP/OWNER",
"authorized_official_telephone_number": "718-753-9141",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LX0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Occupational Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Noir Well Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.