Individual provider Active NPI

Vicki Lynn Taylor, L.M., C.P.M.

  • Midwife
  • Pensacola, FL
National Provider Identifier
1649445974
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW 86 Issued in FL
Practice address
9515 B Holsberry Road
Pensacola, FL 32534-1668
Phone
(850) 969-1066
Fax
(850) 969-0821
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW 86 FL Primary

Addresses

Primary practice location

9515 B Holsberry Road
Pensacola, FL 32534-1668

Mailing address

4405 Cedarbrook Drive
Pensacola, FL 32526-4407
Phone (850) 969-1066

Other identifiers 1

IdentifierTypeStateIssuer
Y7476OtherFLBLUE CROSS BLUE SHIELD

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

State licenses

LicenseStateTypeSpecialty
MW 86FLMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1649445974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 CEDARBROOK DRIVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325264407",
            "telephone_number": "850-969-1066",
            "fax_number": "850-969-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 B HOLSBERRY ROAD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325341668",
            "telephone_number": "850-969-1066",
            "fax_number": "850-969-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "VICKI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "L.M., C.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW 86",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y7476",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.