Active NPI
Priscilla D Taylor, A.R.N.P.
- Pediatric Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1790750883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN00111998
- Practice address
- 1530 S Union Ave
Suite 1
Tacoma, WA 98405-1954 - Phone
- (253) 759-3333
- Fax
- (253) 759-1415
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN00111998 | WA | Primary |
Addresses
Primary practice location
1530 S Union Ave
Suite 1
Tacoma, WA 98405-1954
Mailing address
1530 S Union Ave
Suite 1
Tacoma, WA 98405-1954
Phone (253) 759-3333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012038 | Medicaid | WA | |
| 129187 | Other | WA | LABOR AND INDUSTRIES |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00111998 | WA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1790750883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 S UNION AVE",
"address_2": "SUITE 1",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051954",
"telephone_number": "253-759-3333",
"fax_number": "253-759-1415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 S UNION AVE",
"address_2": "SUITE 1",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051954",
"telephone_number": "253-759-3333",
"fax_number": "253-759-1415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "PRISCILLA",
"middle_name": "D",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WA",
"license": "RN00111998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012038",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "129187",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.