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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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

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 (3 clinicians)

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 Home health agency · The Villages, FL · CCN 109581
  • Accomplished Home Care of Ocala Home health agency · Ocala, FL · CCN 108055

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 IDStateProvider typePAC IDDetails
I20221011002565 FL Practitioner - Nurse Practitioner 2567838881 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F08220578FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Countryside Medical PA Current
since Oct 5, 2022
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 25, 2022.

{
    "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

All providers in Tavares, FL · Family Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.