Individual provider Active NPI

Tayanna Giselle Lawlor, FNP-BC

  • Family Nurse Practitioner
  • New Smyrna, FL
National Provider Identifier
1750899217
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005002 Issued in FL
Practice address
125 Florida Memorial Pkwy Ste 2200
New Smyrna, FL 32168-9309
Phone
(386) 409-6839
Fax
(386) 409-6916
NPI assigned
Jan 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 26NJ00796000 NJ
Family Nurse Practitioner 363LF0000X APRN11005002 FL Primary

Addresses

Primary practice location

125 Florida Memorial Pkwy Ste 2200
New Smyrna, FL 32168-9309

Mailing address

125 Florida Memorial Pkwy Ste 2200
New Smyrna, FL 32168-9309
Phone (386) 409-6839

Other practice location 1

265 N Causeway
New Smyrna, FL 32169-5239
Phone (407) 767-0009

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
I20200412000029 FL Practitioner - Nurse Practitioner 4880954692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ormond Family Medical Center PLLCGroup PAC ID 8820482029, 3 clinicians

Practice addresses (Care Compare)

545 W Granada Blvd
Ormond Beach, FL 32174-5103
Phone (386) 672-6243

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11005002FLMDFamily Nurse Practitioner
26NJ00796000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TGL Precision Wellness, LLC Current Accepting new patients
Ormond Family Medical Center PLLC Single Specialty CurrentSince Jun 13, 2025 Accepting new patients
Adventhealth Primary Care Network Inc Single Specialty CurrentSince Jul 29, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

1890 Lpga Blvd
Ste 170
Daytona Beach, FL 32117
Phone (386) 231-3284

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

125 Florida Memorial Pkwy
Ste 2200
New Smyrna Beach, FL 32168
Phone (386) 409-6836

545 W Granada Blvd
Ormond Beach, FL 32174
Phone (386) 672-6243

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEBJCD

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1750899217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FLORIDA MEMORIAL PKWY STE 2200",
            "city": "NEW SMYRNA",
            "state": "FL",
            "postal_code": "321689309",
            "telephone_number": "386-409-6839",
            "fax_number": "386-409-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FLORIDA MEMORIAL PKWY STE 2200",
            "city": "NEW SMYRNA",
            "state": "FL",
            "postal_code": "321689309",
            "telephone_number": "386-409-6839",
            "fax_number": "386-409-6916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 N Causeway",
            "address_purpose": "LOCATION",
            "city": "New Smyrna",
            "state": "FL",
            "postal_code": "321695239",
            "country_code": "US",
            "telephone_number": "407-767-0009",
            "fax_number": "407-767-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWLOR",
        "first_name": "TAYANNA",
        "middle_name": "GISELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00796000",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna, FL

Sources for this page

Verify at the official NPI Registry.