Active NPI
Taylor Clare, NP
- Family Nurse Practitioner
- North Branch, MI
National Provider Identifier
1811519796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704319041
- Practice address
- 4482 Huron St
North Branch, MI 48461-8667 - Phone
- (810) 688-3093
- Fax
- (810) 688-3694
- NPI assigned
- May 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704319041 | MI | Primary |
Addresses
Primary practice location
4482 Huron St
North Branch, MI 48461-8667
Mailing address
4482 Huron St
North Branch, MI 48461-8667
Phone (810) 688-3093
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704319041 | MI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1811519796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4482 HURON ST",
"city": "NORTH BRANCH",
"state": "MI",
"postal_code": "484618667",
"telephone_number": "810-688-3093",
"fax_number": "810-688-3694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4482 HURON ST",
"city": "NORTH BRANCH",
"state": "MI",
"postal_code": "484618667",
"telephone_number": "810-688-3093",
"fax_number": "810-688-3694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARE",
"first_name": "TAYLOR",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-13",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704319041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Branch, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.