Taylor Hall

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704353408 Issued in MI

Practice address

28903 Woodward Ave
Berkley, MI 48072-0924

Phone

(248) 581-0333

NPI assigned

Jun 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pace Dermatology Associates, PLLCGroup PAC ID 5193995777, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thall@directaddress.net

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.

• Pace Dermatology Associates, PLLC

  • Dermatology Physician
  • Tacoma, WA
  • NPI 1922398585
  Medicare reassignment Care Compare group NPD
• Alan Bolton, MD, PC

  • Obstetrics & Gynecology Physician
  • Berkley, MI
  • NPI 1467632901
  NPD

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1528742004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 OAKSIDE CT",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823758",
            "telephone_number": "248-388-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28903 WOODWARD AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720924",
            "telephone_number": "248-581-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9640 Commerce Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Commerce Township",
            "state": "MI",
            "postal_code": "483824167",
            "country_code": "US",
            "telephone_number": "248-482-2101",
            "fax_number": "248-694-6391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46325 W Twelve Mile Rd Ste 370",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483772464",
            "country_code": "US",
            "telephone_number": "248-482-2107",
            "fax_number": "248-773-3647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704353408",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704353408",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Greulich
• Sophelia Ernestine Griffin
• Sujana Gundlapalli, M.D.
• Neelum Gupta, M.D.
• Sandy Hakim
• Grace Halstead, LPN
• Alishia Harris-Diouf, ANP-BC
• Brian J Harris, BA, LSW, CAC, CBIS
• Jessica Hauser-Harrington, PHD
• Andrew Hauser, M.D.

• Nurse Practitioner in Berkley, MI
• Providers in Berkley, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.