Individual provider Active NPI

Taylor Emery, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Idaho Falls, ID
National Provider Identifier
1750969770
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
13119463 Issued in ID
Practice address
3100 Channing Way
Idaho Falls, ID 83404-7533
Phone
(952) 797-2172
NPI assigned
Mar 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X 13119463 ID Primary

Addresses

Primary practice location

3100 Channing Way
Idaho Falls, ID 83404-7533

Mailing address

3353 Blaze Dr
Idaho Falls, ID 83401-6458

Other practice location 1

3353 Blaze Dr
Idaho Falls, ID 83401-6458
Phone (952) 797-2172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20210916003516 ID Practitioner - Nurse Practitioner 2062819048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Family Medicine PLLCGroup PAC ID 5193877850, 13 clinicians

Practice addresses (Care Compare)

4740 N Penngrove Way
Suite 100
Meridian, ID 83646-7446
Phone (208) 938-3663

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13119463IDMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Regional Hospitalists LLC Multi-Specialty CurrentSince Aug 14, 2021 Accepting new patients
Pioneer Family Medicine PLLC Multi-Specialty CurrentSince Apr 15, 2024 Accepting new patients

Locations

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

4740 N Penngrove Way
Ste 100
Meridian, ID 83646
Phone (208) 938-3663

Interoperability endpoints

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

Organizations & group practices 2

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1750969770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 BLAZE DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047533",
            "telephone_number": "952-797-2172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3353 Blaze Dr",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834016458",
            "country_code": "US",
            "telephone_number": "952-797-2172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMERY",
        "first_name": "TAYLOR",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "ID",
            "license": "13119463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.