Individual provider Active NPI

Taylor Adams, ARNP

  • Family Nurse Practitioner
  • Lemoore, CA
National Provider Identifier
1508309501
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9362173 Issued in FL
Practice address
937 Franklin Blvd
Lemoore, CA 93246-4700
Phone
(559) 998-0950
NPI assigned
Nov 22, 2016
Last updated
Oct 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 901831 MS
Family Nurse Practitioner 363LF0000X ARNP9362173 FL Primary

Addresses

Primary practice location

937 Franklin Blvd
Lemoore, CA 93246-4700

Mailing address

937 Franklin Blvd
Lemoore, CA 93246-4700
Phone (559) 998-0950

Other names 1

  • Taylor Leigh Martin Former name

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
I20240607002708 FL Practitioner - Nurse Practitioner 2163704594 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9362173FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Medical Center of Crestview, PA CurrentSince Jun 1, 2024 Accepting new patients

Locations

369 N Main St
Crestview, FL 32536
Phone (850) 398-6963

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1508309501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 FRANKLIN BLVD",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932464700",
            "telephone_number": "559-998-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 FRANKLIN BLVD",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932464700",
            "telephone_number": "559-998-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "TAYLOR",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901831",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9362173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "MARTIN",
            "middle_name": "LEIGH",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lemoore, CA

Sources for this page

Verify at the official NPI Registry.