Taylor Adams, ARNP
Individual provider Active NPI Family Nurse Practitioner · Lemoore, CA
NPI 1508309501 · NPPES record last updated Oct 15, 2018
Key facts
- NPI
- 1508309501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP9362173 (FL)
- Practice address
- 937 Franklin Blvd
Lemoore, CA 93246-4700 - Phone
- (559) 998-0950
- NPI assigned
- Nov 22, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240607002708 | FL | Practitioner - Nurse Practitioner | 2163704594 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9362173 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Medical Center of Crestview, PA | Current |
Accepting new patients |
Locations
369 N Main St
Crestview, FL 32536
Phone (850) 398-6963
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 901831 | MS | |
| Family Nurse Practitioner | 363LF0000X | ARNP9362173 | FL | Yes |
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
- Taylor Leigh Martin
Other providers in Lemoore, CA
- Mary Saniout Abdelnour
- Delia Acosta-Perez
- Acuworld Health Clinic, Inc.
- Adventist Health Physicians Network
- Anthony Agbagwu
- Sophia Aguilar
- Genevieve Aichelman
- Alireza Aliabadi
All providers in Lemoore, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.