Taylor Jamia Maxie, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

235851 Issued in LA

Practice address

2120 Airline Dr
Bossier City, LA 71111-3106

Phone

(318) 688-3350

Fax

(318) 300-4439

NPI assigned

Jun 19, 2024

Last updated

Jun 19, 2024By 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 names 1

• Taylor Jamia Pope Former name

Medicare fee-for-service enrollment

Enrolled in LA

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Council for Advancement of Social Service and EducationGroup PAC ID 8022043710, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Council for Advancement of Social Service and Education

  dba Casse/Community Health Institute

  • Federally Qualified Health Center (FQHC)
  • Mansfield, LA
  • NPI 1285942284
  Medicare reassignment Care Compare group NPD
• Council for Advancement of Social Service and Education

  dba CASSE - Shreveport Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1306455456
  NPD
• Council for Advancement of Social Service and Education

  dba CASSE - DIAMC Health Center

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1467061515
  NPD

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1700620408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 BERT KOUNS INDUSTRIAL LOOP STE H",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183354",
            "telephone_number": "318-688-3350",
            "fax_number": "318-300-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 AIRLINE DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113106",
            "telephone_number": "318-688-3350",
            "fax_number": "318-300-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXIE",
        "first_name": "TAYLOR",
        "middle_name": "JAMIA",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "235851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "POPE",
            "middle_name": "JAMIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Masvida Health Care Solutions, LLC
• Elizabeth Landry Mathews, DDS
• Gabriel Matthews
• Krystle D'Lanie Matthews
• Morgan Phillips Matthews, LPC
• Mayfield Chiropractic Clinic Bossier LLC
• Mayfield Inc. (Fastserv Medical)
• John T. Mays, MD
• Miracle Mays
• Chaqwita Mayweather

• Women's Health Nurse Practitioner in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Women's Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.