Individual provider Active NPI

Jennifer L Taylor, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1538921002
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1152396 Issued in TX
Practice address
6480 Delaware St
Beaumont, TX 77706-4648
Phone
(409) 813-1677
Fax
(409) 232-0596
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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 1152396 TX Primary

Addresses

Primary practice location

6480 Delaware St
Beaumont, TX 77706-4648

Mailing address

3406 College St Ste 200
Beaumont, TX 77701-4612
Phone (409) 813-1677

Other practice location 1

2353 N Main St
Vidor, TX 77662-2610
Phone (409) 813-1677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240321000024 TX Practitioner - Nurse Practitioner 2668819061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Group Integrated Healthcare System, PLLCGroup PAC ID 1557506383, 34 clinicians

Practice addresses (Care Compare)

6480 Delaware St
DG Wellness Center Beaumont
Beaumont, TX 77706-4648
Phone (409) 813-1677

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1152396TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Group Integrated Healthcare System PLLC Family CurrentSince Mar 7, 2024 Accepting new patients

Locations

3480 College St
Beaumont, TX 77701
Phone (409) 212-5480

6480 Delaware St
Beaumont, TX 77706

3406 College St
Ste 200
Beaumont, TX 77701
Phone (409) 730-2022

288 Country Lane Dr
Lumberton, TX 77657
Phone (409) 227-4413

2200 Highway 365
Nederland, TX 77627
Phone (409) 722-4321

2353 N Main St
Vidor, TX 77662

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1538921002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 COLLEGE ST STE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-813-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 DELAWARE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777064648",
            "telephone_number": "409-813-1677",
            "fax_number": "409-232-0596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2353 N Main St",
            "address_purpose": "LOCATION",
            "city": "Vidor",
            "state": "TX",
            "postal_code": "776622610",
            "country_code": "US",
            "telephone_number": "409-813-1677",
            "fax_number": "409-422-4997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1152396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.