Vickey Star Taylor, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

224352 Issued in AZ

Practice address

3544 W Mercer LN
Phoenix, AZ 85029-4024

Phone

(602) 908-2277

NPI assigned

Apr 25, 2019

Last updated

Apr 25, 2019By the provider in NPPES

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 AZ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Whispering Palms Medical Inc

  dba BritePath Medical

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1821314998
  Medicare reassignment NPD
• Arizona Adult and Pediatric Medicine PC

  • Internal Medicine Physician
  • Prescott, AZ
  • NPI 1225212905
  NPD (past)
• Eric Baumann MD, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Prescott, AZ
  • NPI 1588620421
  NPD (past)

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1538723465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 W MERCER LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294024",
            "telephone_number": "602-908-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 W MERCER LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294024",
            "telephone_number": "602-908-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "VICKEY",
        "middle_name": "STAR",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "224352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Takira Taylor
• Thomas J Taylor, MD
• Thomas Robert Alden Taylor, D.O.
• Todd Brian Taylor, M.D.
• Van Taylor, RN
• Waynette Leslie Taylor
• Yves Leon Taylor II
• Taylord LLC (Taylord Services)
• Richard Blake Tayrien, D.O.
• Nina Tazi, M.D

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.