Active NPI
Jessica Lorraine Taylor, APRN ,DNP, CNM
- Advanced Practice Midwife
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 209024795
- Practice address
- 520 N 4TH St
Springfield, IL 62702-5238 - Phone
- (217) 545-8000
- Fax
- (217) 757-8161
- NPI assigned
- Aug 3, 2018
- Last updated
- Feb 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | APRN9492930 | FL | |
| Advanced Practice Midwife | 367A00000X | 209024795 | IL | Primary |
Addresses
Primary practice location
520 N 4TH St
Springfield, IL 62702-5238
Mailing address
544 W Pershing Rd
Decatur, IL 62526-3226
Phone (217) 872-2400
Other practice location 1
544 W Pershing Rd
Decatur, IL 62526-3226
Phone (217) 872-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100819800 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jtaylor350900@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9492930 | FL | MD | Advanced Practice Midwife |
| 209024795 | IL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Southern Illinois University | Past | Accepting new patients |
Locations
520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100
Interoperability endpoints
- jessicataylor@siusm.allscriptsdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Siu Center for Family Medicine
- Primary Care Clinic/Center
- Springfield, IL
- NPI 1396097960
-
dba Carbondale Care A Van
- Rural Health Clinic/Center
- Carbondale, IL
- NPI 1215978127
-
dba SIU Center for Family Medicine - Care-A-Van
- Federally Qualified Health Center (FQHC)
- Carbondale, IL
- NPI 1568210425
-
dba Noll Medical Pavilion Clinic
- Primary Care Clinic/Center
- Springfield, IL
- NPI 1922350099
-
dba Community Nursing Services
- Clinic/Center
- E Saint Louis, IL
- NPI 1306273776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1609354315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "544 W PERSHING RD",
"city": "DECATUR",
"state": "IL",
"postal_code": "625263226",
"telephone_number": "217-872-2400",
"fax_number": "217-875-4680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N 4TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025238",
"telephone_number": "217-545-8000",
"fax_number": "217-757-8161"
}
],
"practiceLocations": [
{
"address_1": "544 W Pershing Rd",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IL",
"postal_code": "625263226",
"country_code": "US",
"telephone_number": "217-872-2400",
"fax_number": "217-875-4680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "JESSICA",
"middle_name": "LORRAINE",
"credential": "APRN ,DNP, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-03",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN9492930",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "209024795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100819800",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jtaylor350900@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "544 W Pershing Rd",
"city": "Decatur",
"state": "IL",
"country_code": "US",
"postal_code": "625263226",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.