Kayli Taylor, ARNP
Individual provider Active NPI Family Nurse Practitioner · Tavares, FL
NPI 1801515416 · NPPES record last updated Aug 25, 2022
Key facts
- NPI
- 1801515416
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F08220578 (FL)
- Practice address
- 32525 Lakeshore Dr
Tavares, FL 32778-5091 - Phone
- (407) 739-0323
- NPI assigned
- Aug 25, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Countryside Medical PA
Practice addresses (Care Compare)
7860 SW 103Rd St Rd
Suite 101
Ocala, FL 34476-8623
Phone (352) 873-4458
Hospital & facility affiliations
- HCA Florida Healthcare at Home
- Accomplished Home Care of Ocala
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221011002565 | FL | Practitioner - Nurse Practitioner | 2567838881 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F08220578 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Countryside Medical PA | Current |
Accepting new patients | |
| Town and Country Medical Inc | Past | Accepting new patients |
Locations
7860 SW 103rd Street Rd
Ste 101
Ocala, FL 34476
Phone (352) 873-4458
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F08220578 | FL | Yes |
Addresses
Primary practice location
32525 Lakeshore Dr
Tavares, FL 32778-5091
Mailing address
32525 Lakeshore Dr
Tavares, FL 32778-5091
Phone (407) 739-0323
NPI Registry JSON
{
"created_epoch": "1661385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1801515416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32525 LAKESHORE DR",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785091",
"telephone_number": "407-739-0323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32525 LAKESHORE DR",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785091",
"telephone_number": "407-739-0323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "KAYLI",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-25",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F08220578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
- Tavares Pediatrics Inc
- Tavares Pharmacy LLC
- Tavares Pharmacy LLC
- Tavares Surgery LLC
- Tavares Village Retirement Community, LLC
- Ramona Teasley
- Shelby L Terpstra
- Mary Ann Tesalona
- The Gardens at Tavares
- The Grove Pediatric Therapy LLC
All providers in Tavares, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.