Individual provider Active NPI

Colleen Taylor, FPNP

  • Reproductive Endocrinology/Infertility Registered Nurse
  • Waterville, ME
National Provider Identifier
1598748642
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology/Infertility Registered NurseTaxonomy code 163WR1000X
License
R013536 Issued in ME
Practice address
97 Water St
RM 204
Waterville, ME 04901-6339
Phone
(207) 859-1639
Fax
(207) 859-1696
NPI assigned
Nov 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology/Infertility Registered Nurse 163WR1000X R013536 ME Primary

Addresses

Primary practice location

97 Water St
RM 204
Waterville, ME 04901-6339

Mailing address

PO Box 587
43 Gabriel Dr
Augusta, ME 04332-0587
Phone (207) 622-7524

Other identifiers 1

IdentifierTypeStateIssuer
999001008MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R013536MEMDReproductive Endocrinology/Infertility Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1598748642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "address_2": "43 GABRIEL DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043320587",
            "telephone_number": "207-622-7524",
            "fax_number": "207-621-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 WATER ST",
            "address_2": "RM 204",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016339",
            "telephone_number": "207-859-1639",
            "fax_number": "207-859-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "FPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Reproductive Endocrinology/Infertility",
            "state": "ME",
            "license": "R013536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999001008",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.