Stephanie Hertig Taylor, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

2308523 Issued in MA

Practice address

444 Stockbridge Road
Great Barrington, MA 01230

Phone

(413) 528-8580

Fax

(413) 528-8583

NPI assigned

Apr 11, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Nurse Practitioner

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Programs IncGroup PAC ID 5799746608, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: taylor.stephanie.1@3792.direct.athenahealth.com

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.

• Community Health Programs, Inc.

  dba CHP community Health Center

  • Federally Qualified Health Center (FQHC)
  • Great Barrington, MA
  • NPI 1013953009
  Medicare reassignment Care Compare group NPD
• Community Health Programs, Inc.

  dba CHP Berkshire Pediatrics

  • Pediatrics Physician
  • Pittsfield, MA
  • NPI 1942720214
  NPD
• Community Health Programs

  dba CHP Lee Family Practice

  • Community Health Clinic/Center
  • Lee, MA
  • NPI 1689945784
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679796320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 30",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-528-9311",
            "fax_number": "413-644-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 STOCKBRIDGE ROAD",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-528-8580",
            "fax_number": "413-528-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "STEPHANIE",
        "middle_name": "HERTIG",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ME",
            "license": "R037301",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "2308523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110116561A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242490099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald J Sunog, M.D.
• Jennifer Surdam
• Lisa M Sylvia, M.D.
• Tapestry Health Systems
• Mark Anthony Taylor II, MD
• Therapy Emporium LLC (Berkshire Therapy Group)
• Susan N Thompson, M.D.
• Erika S Tilley, MS, RD, LDN
• Timberlyn Operating LLC
• Jeffrey Joshua Title, ED.D.

• Pediatric Nurse Practitioner in Great Barrington, MA
• Providers in Great Barrington, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.