Taylor Ann Anderson, FNP-C
Individual provider Active NPI Nurse Practitioner · Hyrum, UT
NPI 1609443399 · NPPES record last updated May 1, 2022
Key facts
- NPI
- 1609443399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 9836367-4405 (UT)
- Practice address
- 26 W Main St
Hyrum, UT 84319-1292 - Phone
- (435) 245-6248
- NPI assigned
- Jun 9, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- HC Healthcare LLC
Practice addresses (Care Compare)
26 W Main St
Suite 3a
Hyrum, UT 84319-1293
Phone (435) 245-6248
Hospital & facility affiliations
- Intermountain Health Logan Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220321001651 | UT | Practitioner - Nurse Practitioner | 7113312646 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9836367-4405 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HC Healthcare, LLC | Family Medicine | Current |
Accepting new patients |
Locations
26 W Main St
Hyrum, UT 84319
Phone (435) 245-0550
26 W Main St
Ste 3A
Hyrum, UT 84319
Phone (435) 245-6248
560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600
Interoperability endpoints
- hyrummedicalclinic.tayloranderson@154269.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9836367-4405 | UT | Yes |
Addresses
Primary practice location
26 W Main St
Hyrum, UT 84319-1292
Mailing address
26 W Main St
Hyrum, UT 84319-1292
Phone (435) 245-6248
Other providers in Hyrum, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.