Taylor Sides, CRNP PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1-150297 Issued in AL

Practice address

333 Business Cir
Pelham, AL 35124-1778

Phone

(205) 255-3828

NPI assigned

Jun 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, AR2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Central Alabama Mental Health Board IncGroup PAC ID 7517856024, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• South Central Alabama Mental Health Board Inc

  • Community/Behavioral Health Agency
  • Andalusia, AL
  • NPI 1194866905
  Medicare reassignment Care Compare group NPD
• Cahaba Center for Mental Health and Mental Retardation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Selma, AL
  • NPI 1134187727
  Medicare reassignment NPD
• North Shelby Psychiatric Services, Inc.

  • Psychiatry Physician
  • Hoover, AL
  • NPI 1811134877
  Medicare reassignment NPD
• River Region Psychiatry Associates LLC

  • Psychiatry Physician
  • Montgomery, AL
  • NPI 1386891497

  AR

  Medicare reassignment NPD

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1508481698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 WOODRIDGE PL",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350711139",
            "telephone_number": "205-388-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BUSINESS CIR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241778",
            "telephone_number": "205-255-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDES",
        "first_name": "TAYLOR",
        "credential": "CRNP PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-150297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Sheppard, SLP
• Courtney Shields
• Mary Elizabeth Shumate
• Marie Shunnarah, PT
• Susan E. Sibby-Forbes
• Ryan Smeltzer
• Lauren Ashleigh Smith, FNP-BC
• Lindsay Brooke Blanchard Smith, CRNP
• Rachel Mallory Smith, DPT, PT
• Thomas James Smitherman III, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Pelham, AL
• Providers in Pelham, AL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.

Verify at the official NPI Registry.