Individual provider Active NPI

Travia Monique Taylor, APRN CNP

  • Family Nurse Practitioner
  • Amherst, OH
National Provider Identifier
1821652645
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
024567 Issued in OH
Practice address
254 Cleveland Ave
Amherst, OH 44001-1620
Phone
(440) 988-6000
NPI assigned
Apr 26, 2019
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 024567 OH Primary

Addresses

Primary practice location

254 Cleveland Ave
Amherst, OH 44001-1620

Mailing address

3410 Country Club Dr
Medina, OH 44256-8789
Phone (216) 224-6742

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address traviataylor@uhps.allscriptsdirect.net
Direct Messaging Address traviataylor@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20190717002227 OH Practitioner - Nurse Practitioner 5890020549 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
024567OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions LLC CurrentSince Jul 1, 2019 Accepting new patients
Emh Regional Medical Center CurrentSince Mar 17, 2020 Accepting new patients
Incare Health Solutions, LLC Family CurrentSince Jul 1, 2019 Accepting new patients
Emh Regional Medical Center Current Accepting new patients

Locations

254 Cleveland Ave
Amherst, OH 44001
Phone (440) 988-2831

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1821652645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 COUNTRY CLUB DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568789",
            "telephone_number": "216-224-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 CLEVELAND AVE",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011620",
            "telephone_number": "440-988-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TRAVIA",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "APRN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "024567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "traviataylor@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "254 Cleveland Ave",
            "city": "Amherst",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440011620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "traviataylor@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "254 Cleveland Ave",
            "city": "Amherst",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440011620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Amherst, OH

Sources for this page

Verify at the official NPI Registry.