Individual provider Active NPI

Jennifer Ann Taylor, ARNP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1841592888
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6728 Issued in KY
Practice address
906 Windsong PL
Louisville, KY 40207-2288
Phone
(812) 923-2624
Fax
(812) 923-2625
NPI assigned
Nov 24, 2010
Last updated
Nov 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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 6728 KY Primary

Addresses

Primary practice location

906 Windsong PL
Louisville, KY 40207-2288

Mailing address

PO Box 6473
Louisville, KY 40206-0473
Phone (812) 923-2624

Other identifiers 1

IdentifierTypeStateIssuer
6728OtherKYARNP STATE LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20110208000920 KY Practitioner - Nurse Practitioner 0749460749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Louisville School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Leider MD PLLCGroup PAC ID 0941469621, 19 clinicians

Practice addresses (Care Compare)

35 Augusta Ave
Ft Wright, KY 41011-3603
Phone 24852821166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6728KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Leider MD PLLC Family CurrentSince Oct 21, 2013 Accepting new patients
Jeffrey Leider MD PLLC Current Accepting new patients
Dr. Scott L. Tarplee, D.O. PastSince Sep 10, 2015 Accepting new patients
Onhealthcare LLC Past Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

3500 Good Samaritan Way
Louisville, KY 40299
Phone (502) 267-7403

Interoperability endpoints

  • Direct secure messaging: jennifer.taylor.p1@direct.360care.nextgenshare.com
  • Direct secure messaging: jennifer.taylor.p4@direct.360care.nextgenshare.com

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": "1290556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1841592888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6473",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402060473",
            "telephone_number": "812-923-2624",
            "fax_number": "812-923-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 WINDSONG PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072288",
            "telephone_number": "812-923-2624",
            "fax_number": "812-923-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "6728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP  STATE  LICENSE #",
            "identifier": "6728",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.