Jeremy D Taylor, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

241027 Issued in AZ

Practice address

20449 N Lake Pleasant Rd
Peoria, AZ 85382-2654

Phone

(623) 322-0099

NPI assigned

Jun 5, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrity Advanced MedicalGroup PAC ID 2365882958, 3 clinicians

Greenway303 Chiropractic PCGroup PAC ID 9234139205, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18489/brand/1/csg/1/fhir/r4

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.

• Integrity Advanced Medical

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Sun City West, AZ
  • NPI 1760262539
  Medicare reassignment Care Compare group NPD
• Banner Urgent Care Services, LLC

  • Urgent Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1609229764
  Medicare reassignment NPD
• Restore Vascular PLLC

  • Phlebology Physician
  • Queen Creek, AZ
  • NPI 1396452611
  Medicare reassignment NPD
• Trinity Healthcare Center PLLC

  • Physical Medicine & Rehabilitation Physician
  • Scottsdale, AZ
  • NPI 1992578223
  Medicare reassignment NPD
• Blue Ribbon Stem LLC

  • Clinic/Center
  • Cave Creek, AZ
  • NPI 1003756198
  NPD Authorized official
• Greenway303 Chiropractic P.C.

  dba Greenway303 Chiropractic

  • Chiropractor
  • Surprise, AZ
  • NPI 1649330382
  Care Compare group
• Banner Urgent Care Services, LLC

  • Urgent Care Clinic/Center
  • San Tan Valley, AZ
  • NPI 1942653019
  NPD
• Banner Urgent Care Services, LLC

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1962855031
  NPD
• Black Diamond Medical LLC

  • Primary Care Nurse Practitioner
  • Peoria, AZ
  • NPI 1639644909
  NPD (past)
• Trinity Healthcare Center PLLC

  • Physical Medicine & Rehabilitation Physician
  • Queen Creek, AZ
  • NPI 1407717986
  NPD (past)

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1801580782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11747 W FOOTHILL DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853735477",
            "telephone_number": "602-622-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20449 N LAKE PLEASANT RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822654",
            "telephone_number": "623-322-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JEREMY",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "241027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Efrain Tapia, M.D
• Tara Ransdell OD PLLC
• Joseph Tarantino, ATC
• Cindy Lou Tatum-Shipley, LCSW
• Julie Lynn Taubert Hervatin, PA-C
• Joanna Mae Taylor, FNP
• Judy Taylor, RN
• Marina Lark Taylor, RN, IBCLC, CBD
• Therese Mae' Taylor, LPN
• Teeters Orthodontics, LLC

• Nurse Practitioner in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.