Individual provider Active NPI

Taylor Marie Eaton, CNP

  • Family Nurse Practitioner
  • Lima, OH
National Provider Identifier
1558083295
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0032330 Issued in OH
Practice address
1220 E Elm St Ste 106
Lima, OH 45804-2803
Phone
(419) 998-8244
Fax
(419) 998-8243
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN.469983 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0032330 OH Primary

Addresses

Primary practice location

1220 E Elm St Ste 106
Lima, OH 45804-2803

Mailing address

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 226-5018

Other identifiers 1

IdentifierTypeStateIssuer
0001403MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address taylor.eaton@lmpc.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20221108001800 OH Practitioner - Nurse Practitioner 4486021276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lima Memorial Professional CorporationGroup PAC ID 1254232184, 167 clinicians

Practice addresses (Care Compare)

1220 E Elm St
Suite 106
Lima, OH 45804-2803
Phone (419) 998-8244

Hospital & facility affiliations

  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.469983OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Professional Corporation CurrentSince Oct 3, 2022 Accepting new patients
Lima Memorial Professional Corporation Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

L3982
Columbus, OH 43260

1220 E Elm St
Ste 106
Lima, OH 45804
Phone (419) 226-5180

1005 Bellefontaine Ave
Ste 125
Lima, OH 45804
Phone (419) 222-5160

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

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 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": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1558083295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042800",
            "telephone_number": "419-226-5018",
            "fax_number": "419-998-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E ELM ST STE 106",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042803",
            "telephone_number": "419-998-8244",
            "fax_number": "419-998-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN.469983",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0032330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001403",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taylor.eaton@lmpc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1005 Bellefontaine Ave Ste 125",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458042893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.