Individual provider Active NPI

Laura Taylor, NP-C

  • Family Nurse Practitioner
  • Parsons, TN
National Provider Identifier
1740774579
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24008 Issued in TN
Practice address
364 Tennessee Ave S
Parsons, TN 38363-2524
Phone
(639) 673-1847
NPI assigned
Jun 15, 2018
Last updated
Jun 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24008 TN Primary

Addresses

Primary practice location

364 Tennessee Ave S
Parsons, TN 38363-2524

Mailing address

118 Stone Spring Cir
Jackson, TN 38305-1696
Phone (731) 220-3963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20180725004019 TN Practitioner - Nurse Practitioner 1658628391 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Family Medicine, LLC CurrentSince Jul 9, 2018 Accepting new patients

Locations

364 Tennessee Ave S
Parsons, TN 38363
Phone (731) 798-7100

79 Highway 51 S
Ripley, TN 38063
Phone (731) 635-8189

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1740774579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 STONE SPRING CIR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051696",
            "telephone_number": "731-220-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 TENNESSEE AVE S",
            "city": "PARSONS",
            "state": "TN",
            "postal_code": "383632524",
            "telephone_number": "639-673-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LAURA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsons, TN

Sources for this page

Verify at the official NPI Registry.