Active NPI
Kent Taylor, CRNA, ARNP
- Nurse Practitioner
- Marcus, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- D061608
- Practice address
- 506 Ridgeway Dr
Marcus, IA 51035-7163 - Phone
- (573) 489-4759
- NPI assigned
- Apr 13, 2006
- Last updated
- May 28, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| D061608 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fayetteville ASC LLC | Current | 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.
-
dba North Hills Gastroenterology Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Fayetteville, AR
- NPI 1922070911
-
- Anesthesiology Physician
- Kirksville, MO
- NPI 1669498085
Nurse Anesthetist, Certified Registered
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.