Individual provider Active NPI

Taylor Curry Bradford, FNP

  • Family Nurse Practitioner
  • Bossier City, LA
National Provider Identifier
1790303352
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
214074 Issued in LA
Practice address
2300 Hospital Dr Ste 200
Bossier City, LA 71111-2169
Phone
(318) 212-7830
NPI assigned
Jul 10, 2020
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 214074 LA Primary

Addresses

Primary practice location

2300 Hospital Dr Ste 200
Bossier City, LA 71111-2169

Mailing address

700 Julesburg LN
Benton, LA 71006-6705
Phone (318) 455-7617

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 3182127830 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20221118000115 LA Practitioner - Nurse Practitioner 3971914862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
WK Louisiana Family PracticeGroup PAC ID 3375557929, 9 clinicians

Practice addresses (Care Compare)

2300 Hospital Dr
Suite 200
Bossier City, LA 71111-2169
Phone (318) 212-7830

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
214074LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WK Louisiana Family Practice CurrentSince Sep 15, 2022 Accepting new patients

Locations

2300 Hospital Dr
Ste 200
Bossier City, LA 71111
Phone (318) 212-7830

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

Interoperability endpoints

  • Direct secure messaging: tbradfor@direct.wkhs.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1790303352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 JULESBURG LN",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "710066705",
            "telephone_number": "318-455-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HOSPITAL DR STE 200",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112169",
            "telephone_number": "318-212-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "TAYLOR",
        "middle_name": "CURRY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "214074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "3182127830",
            "affiliation": "N",
            "endpointDescription": "Phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Phone",
            "address_1": "2300 Hospital Dr Ste 200",
            "city": "Bossier City",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711112169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.