Individual provider Active NPI

Taylor Nicole Holcomb, APRN-CNP

  • Family Nurse Practitioner
  • Canton, OH
National Provider Identifier
1770289969
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0033202 Issued in OH
Practice address
4580 Stephens Cir NW Ste 202
Canton, OH 44718-3645
Phone
(330) 754-4431
Fax
(330) 244-8839
NPI assigned
Jan 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.464839 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0033202 OH Primary

Addresses

Primary practice location

4580 Stephens Cir NW Ste 202
Canton, OH 44718-3645

Mailing address

4580 Stephens Cir NW Ste 202
Canton, OH 44718-3645
Phone (330) 754-4431

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Taylor.holcomb@direct.aultman.org Health Information Exchange (HIE) aultman hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230303000441 OH Practitioner - Nurse Practitioner 4486027976 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.464839OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Greater Ohio Current Accepting new patients
Planned Parenthood of Greater Ohio CurrentSince Mar 18, 2024 Accepting new patients
Pinnacle Care Providers, LLC Family CurrentSince Feb 15, 2023 Accepting new patients
Skill Doc 101, LLC CurrentSince Jul 18, 2023 Accepting new patients
Planned Parenthood of Greater Ohio CurrentSince Mar 18, 2024 Accepting new patients

Locations

236 3rd St SW
Canton, OH 44702
Phone (330) 754-4431

2663 Cleveland Ave NW
Canton, OH 44709
Phone (330) 456-5329

4580 Stephens Cir NW
Ste 202
Canton, OH 44718
Phone (330) 597-2815

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

4774 Munson St NW
Ste 103
Canton, OH 44718
Phone (330) 244-8975

25350 Rockside Rd
Ste 100
Cleveland, OH 44146
Phone (216) 961-8804

1511 W Broad St
Columbus, OH 43222
Phone (614) 222-3525

384 Park Ave W
Mansfield, OH 44906
Phone (419) 525-3080

21016 Center Ridge Rd
Rocky River, OH 44116
Phone (440) 331-8744

1301 Jefferson Ave
Toledo, OH 43604
Phone (419) 255-1115

77 E Midlothian Blvd
Youngstown, OH 44507
Phone (330) 788-2487

Interoperability endpoints

  • Direct secure messaging: taylor.holcomb@direct.aultman.org

Organizations & group practices 5

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": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1770289969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 STEPHENS CIR NW STE 202",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183645",
            "telephone_number": "330-754-4431",
            "fax_number": "330-244-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 STEPHENS CIR NW STE 202",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183645",
            "telephone_number": "330-754-4431",
            "fax_number": "330-244-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.464839",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0033202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Taylor.holcomb@direct.aultman.org",
            "affiliation": "Y",
            "affiliationName": "aultman hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2600 Sixth St SW",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447101702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.