Individual provider Active NPI

Annisa Taylor, NP

  • Family Nurse Practitioner
  • Baker, LA
National Provider Identifier
1578892956
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN 05937 Issued in LA
Practice address
5120 Groom Rd
Baker, LA 70714-3124
Phone
(225) 774-1077
Fax
(225) 774-1078
NPI assigned
Dec 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN05937 LA
Family Nurse Practitioner 363LF0000X APN 05937 LA Primary

Addresses

Primary practice location

5120 Groom Rd
Baker, LA 70714-3124

Mailing address

5120 Groom Rd
Baker, LA 70714-3124
Phone (225) 774-1077

Other identifiers 2

IdentifierTypeStateIssuer
2113488MedicaidLA
1578892956OtherLANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20100729000170 LA Practitioner - Nurse Practitioner 9436282340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

330 Main St
Baker, LA 70714-3767
Phone (225) 774-1077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN 05937LAMDFamily Nurse Practitioner
APN05937LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Healthcare Options Family CurrentSince Jan 1, 2015 Accepting new patients
HMG Physicians, LLC Past Accepting new patients
Hospital Medicine Group Inc Past Accepting new patients

Locations

5120 Groom Rd
Baker, LA 70714
Phone (225) 774-1077

330 Main St
Baker, LA 70714
Phone (225) 774-1077

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

5266 Commerce St
St Francisvle, LA 70775
Phone (225) 635-3811

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10141/brand/1/csg/1/fhir/r4
  • Direct secure messaging: annisa.stover.1@10141.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1578892956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 GROOM RD",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707143124",
            "telephone_number": "225-774-1077",
            "fax_number": "225-774-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 GROOM RD",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707143124",
            "telephone_number": "225-774-1077",
            "fax_number": "225-774-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANNISA",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "APN05937",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APN 05937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2113488",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578892956",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker, LA

Sources for this page

Verify at the official NPI Registry.