Individual provider Active NPI

Mavalee Taylor

  • Family Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1508168147
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9200956 Issued in FL
Practice address
975 Baptist Way
Homestead, FL 33033-7600
Phone
(305) 270-4699
Fax
(786) 576-0471
NPI assigned
Dec 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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 9200956 FL Primary

Addresses

Primary practice location

975 Baptist Way
Homestead, FL 33033-7600

Mailing address

1912 SE 23Rd CT
Homestead, FL 33035-1243

Other practice location 1

101 S Redland Rd
Florida City, FL 33034-4630
Phone (305) 246-2844

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
I20240914000194 FL Practitioner - Nurse Practitioner 9133433576 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
South Miami Inpatient PhysiciansGroup PAC ID 2567429483, 88 clinicians

Practice addresses (Care Compare)

975 Baptist Way
Homestead, FL 33033-7600
Phone (786) 662-5465

Hospital & facility affiliations

  • Homestead Hospital Hospital, Homestead, FL, CCN 100125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9200956FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Miami Inpatient Physicians CurrentSince Jul 12, 2024 Accepting new patients
Good News Care Center Past Accepting new patients
National Health Rehabilitation LLC Past Accepting new patients

Locations

9500 NW 58th St
Doral, FL 33178
Phone (786) 595-3600

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

6200 SW 73rd St
#69
South Miami, FL 33143
Phone (786) 662-4000

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1508168147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 SE 23RD CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330351243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 BAPTIST WAY",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337600",
            "telephone_number": "305-270-4699",
            "fax_number": "786-576-0471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Redland Rd",
            "address_purpose": "LOCATION",
            "city": "Florida City",
            "state": "FL",
            "postal_code": "330344630",
            "country_code": "US",
            "telephone_number": "305-246-2844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MAVALEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9200956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.