Individual provider Active NPI

Elizabeth Venetta Taylor, FNP

  • Family Nurse Practitioner
  • Penn Valley, PA
National Provider Identifier
1518676824
Registry record updated Mar 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP030007 Issued in PA
Practice address
934 Montgomery Ave
Penn Valley, PA 19072-1913
Phone
(484) 270-8600
NPI assigned
Nov 16, 2022
Last updated
Mar 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2025

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 SP030007 PA Primary

Addresses

Primary practice location

934 Montgomery Ave
Penn Valley, PA 19072-1913

Mailing address

1006 E Dorset St
Philadelphia, PA 19150-3102
Phone (267) 892-4831

Other practice location 1

1006 E Dorset St
Philadelphia, PA 19150-3102
Phone (267) 892-4831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240819000194 PA Practitioner - Nurse Practitioner 4183162472 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Penn Valley Urgent CareGroup PAC ID 5193248144, 3 clinicians
Pennsylvania Urgent Care Centers, PLLCGroup PAC ID 8123200631, 107 clinicians

Practice addresses (Care Compare)

934 Montgomery Ave
Penn Valley, PA 19072-1913
Phone (484) 270-8600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP030007PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Director Services PC CurrentSince Jul 2, 2024 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Penn Valley Urgent Care CurrentSince Mar 1, 2025 Accepting new patients

Locations

831 Bedford Ave
Brooklyn, NY 11205

780 N Krocks Rd
Ste 101B
Allentown, PA 18106
Phone (610) 365-3354

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

934 Montgomery Ave
Penn Valley, PA 19072
Phone (484) 270-8600

2848 W Moreland Rd
Willow Grove, PA 19090
Phone (267) 495-5455

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, 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": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1518676824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 E DORSET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503102",
            "telephone_number": "267-892-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 MONTGOMERY AVE",
            "city": "PENN VALLEY",
            "state": "PA",
            "postal_code": "190721913",
            "telephone_number": "484-270-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 E Dorset St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191503102",
            "country_code": "US",
            "telephone_number": "267-892-4831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ELIZABETH",
        "middle_name": "VENETTA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Valley, PA

Sources for this page

Verify at the official NPI Registry.