Mildred Jean Taylor, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

3017623 Issued in KY

Practice address

37 Hwy 343
37 Hwy 343
Neon, KY 41840-4184

Phone

(606) 794-3277

Fax

(606) 832-0194

NPI assigned

Apr 27, 2022

Last updated

Apr 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Baker Direct Medical Care LLC

  • Rural Health Clinic/Center
  • Neon, KY
  • NPI 1881546778
  NPD (past)

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1801530514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 HIGHWAY 805",
            "city": "NEON",
            "state": "KY",
            "postal_code": "418409051",
            "telephone_number": "606-634-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 HWY 343",
            "address_2": "37 HWY 343",
            "city": "NEON",
            "state": "KY",
            "postal_code": "418404184",
            "telephone_number": "606-794-3277",
            "fax_number": "606-832-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MILDRED",
        "middle_name": "JEAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3017623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "katydid4270@yahoo.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Neon",
            "address_1": "37 HWY 343",
            "address_2": "37 Hwy 343",
            "city": "Neon",
            "state": "KY",
            "country_code": "US",
            "postal_code": "418404184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mountain Comprehensive Health Corporation
• Neon Volunteer Fire Department Inc
• Sam Wiley Quillen Jr., DMD
• Sam W. Quillen Jr. DMD
• Stallards Pharmacy Inc (Family Drug Of Neon)

• Primary Care Nurse Practitioner in Neon, KY
• Providers in Neon, KY by specialty
• Primary Care Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.