Individual provider Active NPI

Kent Taylor, CRNA, ARNP

  • Nurse Practitioner
  • Marcus, IA
National Provider Identifier
1649234089
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
D061608 Issued in IA
Practice address
506 Ridgeway Dr
Marcus, IA 51035-7163
Phone
(573) 489-4759
NPI assigned
Apr 13, 2006
Last updated
May 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X D061608 IA Primary
Certified Registered Nurse Anesthetist 367500000X 092286 MO

Addresses

Primary practice location

506 Ridgeway Dr
Marcus, IA 51035-7163

Mailing address

5309 Redcastle CT
Columbia, MO 65203-5134
Phone (573) 489-4759

Other practice location 1

5309 Redcastle Ct
Columbia, MO 65203
Phone (573) 489-4759

Other practice location 2

601 Highway 6 W
Iowa City, IA 52246-2209
Phone (319) 338-0581

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)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
D061608IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fayetteville ASC LLC CurrentSince Dec 1, 2024 Accepting new patients
Kirksville Anesthesia Associates, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3344 N Futrall Dr
Ste 3
Fayetteville, AR 72703
Phone (479) 582-7280

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1649234089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 REDCASTLE CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035134",
            "telephone_number": "573-489-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 RIDGEWAY DR",
            "city": "MARCUS",
            "state": "IA",
            "postal_code": "510357163",
            "telephone_number": "573-489-4759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5309 Redcastle Ct",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "65203",
            "country_code": "US",
            "telephone_number": "573-489-4759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Highway 6 W",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522462209",
            "country_code": "US",
            "telephone_number": "319-338-0581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KENT",
        "credential": "CRNA, ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "D061608",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "092286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marcus, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.