Active NPI
Rebecca A Taylor, RN CNP
- Nurse Practitioner
- Cincinnati, OH
National Provider Identifier
1760443758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- COA05683NP
- Practice address
- 3333 Burnet Ave
Ml4002
Cincinnati, OH 45229 - Phone
- (513) 636-4688
- Fax
- (513) 636-7361
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN138375CDA | OH | |
| Nurse Practitioner | 363L00000X | COA05683NP | OH | Primary |
Addresses
Primary practice location
3333 Burnet Ave
Ml4002
Cincinnati, OH 45229
Mailing address
3333 Burnet Ave
Ml5021
Cincinnati, OH 45229
Phone (513) 636-5013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2623898 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN138375CDA | OH | MD | Registered Nurse |
| COA05683NP | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1760443758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"address_2": "ML5021",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45229",
"telephone_number": "513-636-5013",
"fax_number": "866-213-7084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"address_2": "ML4002",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45229",
"telephone_number": "513-636-4688",
"fax_number": "513-636-7361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "REBECCA",
"middle_name": "A",
"credential": "RN CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN138375CDA",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA05683NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2623898",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.