Organization Active NPI

Rebecca R Taylor

  • Family Nurse Practitioner
  • Bloomington, IN
National Provider Identifier
1609609114
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
REBECCA R TAYLOR
Practice address
3105 S Sare Rd Ste 102B
Bloomington, IN 47401-0052
Phone
(812) 269-7377
Fax
(888) 554-2605
NPI assigned
Aug 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Rebecca R Taylor, NP-C
Title
Owner
Phone
(812) 269-7377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3105 S Sare Rd Ste 102B
Bloomington, IN 47401-0052

Mailing address

3105 S Sare Rd Ste 102B
Bloomington, IN 47401-0052
Phone (812) 269-7377

Other names 1

  • UnVeiled Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1609609114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 S SARE RD STE 102B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474010052",
            "telephone_number": "812-269-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 S SARE RD STE 102B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474010052",
            "telephone_number": "812-269-7377",
            "fax_number": "888-554-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA R TAYLOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-269-7377",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UnVeiled Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.