Individual provider Active NPI

Bernadette M Taylor, RN, MSN, APN

  • Neonatal Clinical Nurse Specialist
  • Chicago, IL
National Provider Identifier
1780901843
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Clinical Nurse SpecialistTaxonomy code 364SN0000X
License
209007258 Issued in IL
Practice address
5721 S Maryland Ave # K280
Chicago, IL 60637-1425
Phone
(773) 834-4269
Fax
(773) 702-6100
NPI assigned
Apr 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Clinical Nurse Specialist 364SN0000X 209007258 IL Primary

Addresses

Primary practice location

5721 S Maryland Ave # K280
Chicago, IL 60637-1425

Mailing address

5431 Marcella Rd
Merrillville, IN 46410-1730
Phone (219) 884-9838

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)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
209007258ILMDNeonatal Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1780901843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5431 MARCELLA RD",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101730",
            "telephone_number": "219-884-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 S MARYLAND AVE # K280",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371425",
            "telephone_number": "773-834-4269",
            "fax_number": "773-702-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BERNADETTE",
        "middle_name": "M",
        "credential": "RN, MSN, APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SN0000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Neonatal",
            "state": "IL",
            "license": "209007258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.