Individual provider Active NPI

Taquita T Taylor, APRN, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1669966180
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008741A Issued in IN
Practice address
5435 Emerson Way Ste 100
Indianapolis, IN 46226-1470
Phone
(317) 362-0293
Fax
(317) 744-9556
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 28194732A IN
Family Nurse Practitioner 363LF0000X 71008741A IN Primary

Addresses

Primary practice location

5435 Emerson Way Ste 100
Indianapolis, IN 46226-1470

Mailing address

5435 Emerson Way Ste 110
Indianapolis, IN 46226-1470
Phone (317) 362-0293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190220002042 IN Practitioner - Nurse Practitioner 2163760992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children Express Care Clinic LLCGroup PAC ID 5799196366, 2 clinicians

Practice addresses (Care Compare)

5435 Emerson Way
Suite 100
Indianapolis, IN 46226-1470
Phone (317) 362-0293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28194732AINMDHome Health Registered Nurse
71008741AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children Express Care Clinic LLC Family CurrentSince Jun 25, 2020 Accepting new patients
Tailored Care LLC Current Accepting new patients
Tailored Care Home Health LLC Current Accepting new patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince Feb 9, 2019 Accepting new patients

Locations

11591 Olio Rd
Fishers, IN 46037
Phone (317) 585-2702

8902 E 38th St
Indianapolis, IN 46226
Phone (317) 423-0130

8902 E 38th St
Ste 500
Indianapolis, IN 46226
Phone (317) 957-2350

5435 Emerson Way
Ste 110
Indianapolis, IN 46226
Phone (317) 362-0293

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

5435 Emerson Way
Ste 100
Indianapolis, IN 46226
Phone (317) 362-0293

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22102/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1669966180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 EMERSON WAY STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261470",
            "telephone_number": "317-362-0293",
            "fax_number": "317-672-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 EMERSON WAY STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261470",
            "telephone_number": "317-362-0293",
            "fax_number": "317-744-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TAQUITA",
        "middle_name": "T",
        "credential": "APRN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IN",
            "license": "28194732A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008741A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.