Active NPI
Bernadette M Taylor, RN, MSN, APN
- Neonatal Clinical Nurse Specialist
- Chicago, IL
National Provider Identifier
1780901843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Clinical Nurse Specialist
- License
- 209007258
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 209007258 | IL | MD | Neonatal 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.