Individual provider Active NPI

Lois Sullivan-Taylor, ARNP

  • Nurse Practitioner
  • Pompano Beach, FL
National Provider Identifier
1790926194
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2701732 Issued in FL
Practice address
1 W Sample Rd
Ste 205
Pompano Beach, FL 33064-3547
Phone
(954) 786-2255
Fax
(954) 786-7146
NPI assigned
Mar 13, 2009
Last updated
Mar 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2701732 FL Primary

Addresses

Primary practice location

1 W Sample Rd
Ste 205
Pompano Beach, FL 33064-3547

Mailing address

1 West Sample Road
Suite 205
Pompano Beach, FL 33064
Phone (954) 786-2255

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2701732FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald H. Kurlander, MD, PA Past Accepting new patients
Family Behavioral Center, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236902400000",
    "number": "1790926194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WEST SAMPLE ROAD",
            "address_2": "SUITE 205",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "954-786-2255",
            "fax_number": "954-786-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W SAMPLE RD",
            "address_2": "STE 205",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643547",
            "telephone_number": "954-786-2255",
            "fax_number": "954-786-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN-TAYLOR",
        "first_name": "LOIS",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "2701732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.