Individual provider Active NPI

Whitney Taylor-Bousquet, NP

  • Family Nurse Practitioner
  • Chester, VA
National Provider Identifier
1558046128
Registry record updated Feb 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024188371 Issued in VA
Practice address
12254 Branders Creek Dr
Chester, VA 23831-1626
Phone
(804) 271-8990
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 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 0024188371 VA Primary

Addresses

Primary practice location

12254 Branders Creek Dr
Chester, VA 23831-1626

Mailing address

12254 Branders Creek Dr
Chester, VA 23831-1626

Other names 1

  • Whitney Taylor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240207001330 VA Practitioner - Nurse Practitioner 4789027723

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024188371VAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707004800000",
    "number": "1558046128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12254 BRANDERS CREEK DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12254 BRANDERS CREEK DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311626",
            "telephone_number": "804-271-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-BOUSQUET",
        "first_name": "WHITNEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2024-02-04",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024188371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "TAYLOR",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chester, VA

Sources for this page

Verify at the official NPI Registry.