Active NPI
Jennifer R. Taylor, NP
- Gerontology Nurse Practitioner
- Abingdon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 0024166234
- Practice address
- 16000 Johnston Memorial Dr
Suite 313
Abingdon, VA 24211-7664 - Phone
- (276) 258-3780
- Fax
- (276) 258-3776
- NPI assigned
- Feb 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 0024166234 | VA | Primary |
Addresses
Primary practice location
16000 Johnston Memorial Dr
Suite 313
Abingdon, VA 24211-7664
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other practice location 1
16000 Johnston Memorial Dr Ste 112
Abingdon, VA 24211-7667
Phone (276) 258-3780
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487620274 | Medicaid | VA | |
| Q004987 | Medicaid | TN | |
| P01214685 | Other | RR MEDICARE | |
| 231160700 | Other | VA | DOL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041204000252 | VA | Practitioner - Nurse Practitioner | 3870559594 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- East Tennessee State University Quillen College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Abingdon Physician PartnersBlue Ridge Medical Management Corporation
Practice addresses (Care Compare)
1205 Snider St
B
Marion, VA 24354-4221
Phone (276) 258-1777
16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
323 Falls NWDR
Abingdon, VA 24210-8093
Phone (276) 628-2612
Hospital & facility affiliations
- Adoration Home Health
- Amedisys Home Health Care
- Johnston Memorial Hospital
- Russell County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024166234 | VA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Abingdon Physician Partners | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Wellmont Physician Services Inc | Past | Accepting new patients | |
| Johnston Memorial Hospital, Inc | Past | Accepting new patients |
Locations
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
16000 Johnston Memorial Dr
Ste 313
Abingdon, VA 24211
Phone (276) 258-3770
215 Valley St NE
Abingdon, VA 24210
Phone (276) 623-1332
323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612
16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000
1205 Snider St
#B
Marion, VA 24354
Phone (276) 258-1777
Organizations & group practices 7
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.
-
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
VA
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Internal Medicine Physician
- Abingdon, VA
- NPI 1700264900
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
-
- Internal Medicine Physician
- Big Stone Gap, VA
- NPI 1619095403
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wise, VA
- NPI 1962607192
-
- Home Health Agency
- Abingdon, VA
- NPI 1225096886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1487620274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-302-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16000 JOHNSTON MEMORIAL DR",
"address_2": "SUITE 313",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242117664",
"telephone_number": "276-258-3780",
"fax_number": "276-258-3776"
}
],
"practiceLocations": [
{
"address_1": "16000 Johnston Memorial Dr Ste 112",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "VA",
"postal_code": "242117667",
"country_code": "US",
"telephone_number": "276-258-3780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "JENNIFER",
"middle_name": "R.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "VA",
"license": "0024166234",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487620274",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q004987",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01214685",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL",
"identifier": "231160700",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.