Active NPI
Laura Evelyn Taylor, RN,CNP
- Obstetrics & Gynecology Nurse Practitioner
- Portsmouth, OH
National Provider Identifier
1609993997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- CNP03652
- Practice address
- 411 2ND St
Portsmouth, OH 45662-3806 - Phone
- (740) 353-3173
- Fax
- (740) 354-6141
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | CNP03652 | OH | Primary |
Addresses
Primary practice location
411 2ND St
Portsmouth, OH 45662-3806
Mailing address
426 Pleasant Dr
Lucasville, OH 45648-8513
Phone (740) 259-4918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2211707 | Medicaid | OH |
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)
- Not enrolled
- Credentials
- Certified Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP03652 | OH | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1609993997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 PLEASANT DR",
"city": "LUCASVILLE",
"state": "OH",
"postal_code": "456488513",
"telephone_number": "740-259-4918",
"fax_number": "740-354-6141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 2ND ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456623806",
"telephone_number": "740-353-3173",
"fax_number": "740-354-6141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "LAURA",
"middle_name": "EVELYN",
"credential": "RN,CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "OH",
"license": "CNP03652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2211707",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.