Individual provider Active NPI

Amber Taylor, NP

  • Adult Health Nurse Practitioner
  • Brandon, MS
National Provider Identifier
1699498774
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
905510 Issued in MS
Practice address
1887 Spillway Rd
Brandon, MS 39047-6066
Phone
(601) 992-5532
Fax
(601) 992-5547
NPI assigned
Sep 22, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 905510 MS Primary

Addresses

Primary practice location

1887 Spillway Rd
Brandon, MS 39047-6066

Mailing address

157 Greenfield Ridge Dr
Brandon, MS 39042-7019
Phone (601) 966-3058

Other names 1

  • Amber Nicole Solis Taylor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20221122000347 MS Practitioner - Nurse Practitioner 9133597255 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
905510MSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Medical and Wellness Centers, LLC CurrentSince Jul 1, 2024 Accepting new patients
Spring Valley Hospice, LLC PastSince Oct 5, 2021 Accepting new patients
BMC - Attala, LLC Past Accepting new patients

Locations

794 Highway 51
Ste D
Madison, MS 39110
Phone (601) 853-8814

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1699498774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 GREENFIELD RIDGE DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390427019",
            "telephone_number": "601-966-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 SPILLWAY RD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476066",
            "telephone_number": "601-992-5532",
            "fax_number": "601-992-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "AMBER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "905510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "TAYLOR",
            "middle_name": "NICOLE SOLIS",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brandon, MS

Sources for this page

Verify at the official NPI Registry.