Mary Dianna Hacker-Taylor, RN ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3005066 Issued in KY

Practice address

204 Patrick Ave
Urbana, OH 43078-2302

Phone

(937) 484-6157

Fax

(937) 484-6181

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mrs. M. Dianna Hacker-Taylor Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1770637449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PATRICK AVE",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782302",
            "telephone_number": "937-484-6157",
            "fax_number": "937-484-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PATRICK AVE",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782302",
            "telephone_number": "937-484-6157",
            "fax_number": "937-484-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKER-TAYLOR",
        "first_name": "MARY",
        "middle_name": "DIANNA",
        "name_prefix": "Mrs.",
        "credential": "RN ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "5066P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005066",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "NP.04945",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162513",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.",
            "last_name": "HACKER-TAYLOR",
            "middle_name": "DIANNA",
            "prefix": "MRS.",
            "credential": "RN ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mark R Greenberg, LISW
• Broedy Grim
• Sherri A Grimone, LISW-S
• Erin Michelle Groom
• James David Grove, O.D.
• Karena Christine Hager
• Sheri Haines, MA, LPC, LICDC
• Stephanie G Hall
• Stephanie Hamilton
• Brooke Boyd Harlacher, M.S., CCC-SLP

• Family Nurse Practitioner in Urbana, OH
• Providers in Urbana, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.