Taylor Phillips, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-174116 Issued in AL

Practice address

234 Keller Park Blvd
Tuscumbia, AL 35674-1417

Phone

(256) 381-6963

Fax

(256) 381-6018

NPI assigned

Aug 22, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Tennessee Valley Pediatric Associatesinc.

  • Pediatrics Physician
  • Tuscumbia, AL
  • NPI 1043323439
  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1831817105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 AIDAN LN",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356611893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 KELLER PARK BLVD",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741417",
            "telephone_number": "256-381-6963",
            "fax_number": "256-381-6018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 S Jackson Hwy",
            "address_purpose": "LOCATION",
            "city": "Sheffield",
            "state": "AL",
            "postal_code": "356605746",
            "country_code": "US",
            "telephone_number": "256-381-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TAYLOR",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-174116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny Oliver Townsend
• Nicklas Steven Peoples, COTA/L
• Jacob Pete, DDS
• Hanna Elizabeth Pevahouse
• Kimberly Jill Phillips, OTA/L
• Erin Moon Pounders, DPT
• Brittany Nicole Pruett, MSW
• Sarah Quillen
• Grace Ramos
• Christopher J Richardson, PHARMD

• Nurse Practitioner in Tuscumbia, AL
• Providers in Tuscumbia, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.