NPIMap

Individual provider Active NPI

Mary Anne Taylor, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1699907451
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6285P Issued in KY
Practice address
1505 S 7TH St
Louisville, KY 40208-1710
Phone
(502) 637-1005
NPI assigned
Aug 12, 2009
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6285P KY
Family Nurse Practitioner 363LF0000X 6285P KY Primary

Addresses

Primary practice location

1505 S 7TH St
Louisville, KY 40208-1710

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0330

Other practice location 1

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4200

Other practice location 2

1607 Dixie Hwy
Louisville, KY 40210-1745
Phone (502) 772-1822

Other identifiers 2

IdentifierTypeStateIssuer
3006285OtherKYFAMILY NURSE PRACTITIONER
7100107290 (KOHMG)MedicaidKY

Other names 1

  • Mrs. Mary Anne Taylor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100222000535 KY Practitioner - Nurse Practitioner 9133263601 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5100 Outer Loop
Louisville, KY 40219-3023
Phone (502) 966-2109

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6285PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Feb 26, 2018 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Dec 19, 2024 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients
Amin's Family Practice Associates , PSC Family CurrentSince Mar 1, 2024 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner CurrentSince Dec 19, 2024 Accepting new patients
Prescott Plastic Surgery & Med Spa PLLC PastSince Sep 1, 2004 Accepting new patients
University of Louisville Research Foundation Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

10100 Dixie Hwy
Louisville, KY 40272
Phone (502) 637-1005

1505 S 7th St
Louisville, KY 40208
Phone (502) 637-1005

1607 Dixie Hwy
Louisville, KY 40210
Phone (502) 772-1822

201 Abraham Flexner Way
Ste 1200
Louisville, KY 40202
Phone (502) 583-8383

2219 Holiday Manor Ctr
Louisville, KY 40222
Phone (502) 394-9483

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

4331 Churchman Ave
Ste 102
Louisville, KY 40215
Phone (502) 366-1773

5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

7926 Preston Hwy
Ste 103
Louisville, KY 40219
Phone (502) 309-9811

Organizations & group practices 7

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.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1699907451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S 7TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081710",
            "telephone_number": "502-637-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 Elm Hill Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372143108",
            "country_code": "US",
            "telephone_number": "615-425-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1607 Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402101745",
            "country_code": "US",
            "telephone_number": "502-772-1822",
            "fax_number": "502-772-1154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "6285P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6285P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "3006285",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100107290 (KOHMG)",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY ANNE",
            "last_name": "TAYLOR",
            "prefix": "MRS.",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.