Individual provider Active NPI

Meaghan S. Taylor, ARNP

  • Women's Health Nurse Practitioner
  • Bonifay, FL
National Provider Identifier
1710243548
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
ARNP9250876 Issued in FL
Practice address
3120 Southride LN
Bonifay, FL 32425
Phone
(850) 547-4440
Fax
(850) 547-4441
NPI assigned
Apr 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X ARNP9250876 FL Primary

Addresses

Primary practice location

3120 Southride LN
Bonifay, FL 32425

Mailing address

3120 Southride LN
Bonifay, FL 32425-3325
Phone (850) 547-4440

Other identifiers 1

IdentifierTypeStateIssuer
004762300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120427000320 FL Practitioner - Nurse Practitioner 5799947339 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9250876FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hawkins Family Medicine LLC CurrentSince Jun 1, 2017 Accepting new patients

Locations

3120 Southride Ln
Bonifay, FL 32425
Phone (850) 547-4440

310 E Byrd Ave
Ste B
Bonifay, FL 32425
Phone (850) 547-4440

101 E Wisconsin Ave
Bonifay, FL 32425
Phone (850) 547-2209

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21623/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1710243548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 SOUTHRIDE LN",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324253325",
            "telephone_number": "850-547-4440",
            "fax_number": "850-547-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 SOUTHRIDE LN",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "32425",
            "telephone_number": "850-547-4440",
            "fax_number": "850-547-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MEAGHAN",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP9250876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004762300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonifay, FL

Sources for this page

Verify at the official NPI Registry.