Individual provider Active NPI

Taylor W Lightner, FNP-BC

  • Family Nurse Practitioner
  • Monterey, VA
National Provider Identifier
1720608698
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024182884 Issued in VA
Practice address
120 Jackson River Rd
Monterey, VA 24465-2416
Phone
(540) 468-6400
NPI assigned
Apr 21, 2020
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024182884 VA Primary
Registered Nurse 163W00000X 1-173585 AL

Addresses

Primary practice location

120 Jackson River Rd
Monterey, VA 24465-2416

Mailing address

3366 Jackson River Rd
Monterey, VA 24465-2700
Phone (770) 833-6774

Other practice location 1

1802 6th Ave S
Birmingham, AL 35233-1932
Phone (205) 975-1180

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Monterey Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20211214001084 VA Practitioner - Nurse Practitioner 9436549078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Medical Center IncGroup PAC ID 1759285075, 9 clinicians

Practice addresses (Care Compare)

120 Jackson River Rd
Monterey, VA 24465-2416
Phone (540) 468-6402

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-173585ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Medical Center Inc CurrentSince Dec 6, 2021 Accepting new patients
Highland Medical Center Inc CurrentSince Dec 6, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15976/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1720608698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 JACKSON RIVER RD",
            "city": "MONTEREY",
            "state": "VA",
            "postal_code": "244652700",
            "telephone_number": "770-833-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 JACKSON RIVER RD",
            "city": "MONTEREY",
            "state": "VA",
            "postal_code": "244652416",
            "telephone_number": "540-468-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331932",
            "country_code": "US",
            "telephone_number": "205-975-1180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGHTNER",
        "first_name": "TAYLOR",
        "middle_name": "W",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024182884",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-173585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Monterey",
            "affiliation": "N",
            "endpointDescription": "eCW P2P",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "120 Jackson River Rd",
            "city": "Monterey",
            "state": "VA",
            "country_code": "US",
            "postal_code": "244652416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monterey, VA

Sources for this page

Verify at the official NPI Registry.