Active NPI
Rosaland Rochelle Lacy-Taylor, FNP-BC
- Family Nurse Practitioner
- Porter, TX
National Provider Identifier
1699008482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP117065
- Practice address
- 23736 Highway 59
Ste. 104
Porter, TX 77365-4634 - Phone
- (281) 354-1133
- NPI assigned
- Sep 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP117065 | TX | Primary |
Addresses
Primary practice location
23736 Highway 59
Ste. 104
Porter, TX 77365-4634
Mailing address
23736 Highway 59
Ste. 104
Porter, TX 77365-4634
Phone (281) 354-1133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101015000188 | TX | Practitioner - Nurse Practitioner | 6608069240 | Practice locations: Porter, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
23736 Hwy 59
Ste. 104
Porter, TX 77365-4634
23736 Hwy 59 104
Porter, TX 77365-4666
Phone (281) 354-1133
Hospital & facility affiliations
- HCA Houston Healthcare Kingwood
- Memorial Hermann Northeast Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP117065 | TX | MD | Family Nurse Practitioner |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436486400000",
"number": "1699008482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23736 HIGHWAY 59",
"address_2": "STE. 104",
"city": "PORTER",
"state": "TX",
"postal_code": "773654634",
"telephone_number": "281-354-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23736 HIGHWAY 59",
"address_2": "STE. 104",
"city": "PORTER",
"state": "TX",
"postal_code": "773654634",
"telephone_number": "281-354-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACY-TAYLOR",
"first_name": "ROSALAND",
"middle_name": "ROCHELLE",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-10",
"last_updated": "2015-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP117065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Porter, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.