Individual provider Active NPI

Cathy Taylor

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1629477039
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15824 Issued in OH
Practice address
40 E McMicken Ave
Cincinnati, OH 45202-6625
Phone
(513) 926-7173
NPI assigned
Aug 21, 2014
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP5716 AZ
Family Nurse Practitioner 363LF0000X 15824 OH Primary

Addresses

Primary practice location

40 E McMicken Ave
Cincinnati, OH 45202-6625

Mailing address

5750 Florence Ave
Blue Ash, OH 45242-1924
Phone (513) 290-4912

Other practice location 1

2600 Victory Pkwy
Cincinnati, OH 45206-1711
Phone (513) 751-7747

Other practice location 2

2851 S Avenue B
Suite 2901
Yuma, AZ 85364-7726
Phone (928) 304-7729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201204001522 OH Practitioner - Nurse Practitioner 3971827544 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15824OHMDDentist
AP5716AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateways Recovery Inc CurrentSince Aug 22, 2020 Accepting new patients
Cincinnati Health Network, Inc Past Accepting new patients

Locations

2600 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 872-5863

2621 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 221-4673

4966 Glenway Ave
Cincinnati, OH 45238
Phone (513) 242-7164

Interoperability endpoints

  • Direct secure messaging: cathy.taylor.1@15958.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1629477039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 FLORENCE AVE",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421924",
            "telephone_number": "513-290-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E MCMICKEN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452026625",
            "telephone_number": "513-926-7173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Victory Pkwy",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452061711",
            "country_code": "US",
            "telephone_number": "513-751-7747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2851 S Avenue B",
            "address_2": "Suite 2901",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647726",
            "country_code": "US",
            "telephone_number": "928-304-7729",
            "fax_number": "928-344-5577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CATHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2024-07-16",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5716",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "15824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.