Angela Ridge Taylor, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R853671 Issued in MS

Practice address

961 South Gloster Street
Tupelo, MS 38801

Phone

(662) 844-9166

Fax

(662) 844-0170

NPI assigned

Jul 19, 2005

Last updated

Sep 30, 2010By 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 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clay County Medical CorporationGroup PAC ID 4789649609, 36 clinicians

North Mississippi Medical Center, Inc.Group PAC ID 9931010600, 361 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
• Clay County Medical Corporation Hospital, West Point, MS, CCN 250067

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Clay County Medical Corporation

  dba Clay County Med Ctr - ER Phys

  • Emergency Care Clinic/Center
  • West Point, MS
  • NPI 1578670972
  Medicare reassignment Care Compare group NPD
• North Mississippi Medical Center Inc

  dba Behavioral Health Center

  • Psychologist
  • Tupelo, MS
  • NPI 1972608347
  Medicare reassignment Care Compare group NPD
• Clay County Medical Corporation

  dba North Mississippi Retina Center West Point

  • Ophthalmology Physician
  • West Point, MS
  • NPI 1174353247
  NPD
• Clay County Medical Corporation

  dba Clay County Medical - CRNA

  • Anesthesiology Physician
  • West Point, MS
  • NPI 1396852695
  NPD
• Clay County Medical Corporation

  dba North Mississippi Surgery Clinic Eupora

  • Surgery Physician
  • Eupora, MS
  • NPI 1639684152
  NPD
• North Mississippi Hematology & Oncology Associates LTD

  • Hematology & Oncology Physician
  • Tupelo, MS
  • NPI 1689671588
  NPD
• North Mississippi Medcial Center, Inc.

  dba Radiology Consultants

  • Diagnostic Radiology Physician
  • Tupelo, MS
  • NPI 1902762487
  NPD
• North Mississippi Medical Center, Inc

  dba North Mississippi Medical Center Hematology Oncology

  • Hematology & Oncology Physician
  • Tupelo, MS
  • NPI 1942686324

  Family

  NPD
• Clay County Medical Corporation

  dba Clay County Medical Center

  • General Acute Care Hospital
  • West Point, MS
  • NPI 1639284409
  NPD (past)
• North Mississippi Medical Center

  dba Family Medicine Residency Center

  • Family Medicine Physician
  • Tupelo, MS
  • NPI 1285745885
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clay County Medical Corporation

  dba Clay County Medical Center

  • General Acute Care Hospital
  • West Point, MS
  • NPI 1639284409
  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  dba North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  Care Compare affiliation

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1699774810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 SOUTH GLOSTER STREET",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801",
            "telephone_number": "662-844-9166",
            "fax_number": "662-844-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 SOUTH GLOSTER STREET",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801",
            "telephone_number": "662-844-9166",
            "fax_number": "662-844-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANGELA",
        "middle_name": "RIDGE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R853671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126044",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nyah Tate
• Vanessa Tate, PCCSS
• Faith Dolores Tatum
• Allison Taylor
• Angela Taylor, RN
• Brandie Taylor, FNP
• Cori Denise Taylor
• Hailey Taylor, BCBA
• Hannah Taylor, LPC
• James Lauvon Taylor III, PHARMD

• Family Nurse Practitioner in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.