Individual provider Active NPI

Julianna Valdez Taylor, PA-C

  • Physician Assistant
  • Fort Collins, CO
National Provider Identifier
1851797104
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0004154 Issued in CO
Practice address
214 N Howes St
Fort Collins, CO 80521-2011
Phone
(970) 672-4331
Fax
(970) 484-1593
NPI assigned
Nov 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0004154 CO Primary

Addresses

Primary practice location

214 N Howes St
Fort Collins, CO 80521-2011

Mailing address

214 N Howes St
Fort Collins, CO 80521-2011
Phone (970) 672-4331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20141230000595 CO Practitioner - Physician Assistant 3870816770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MH Health Care Services, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: julianna.taylor.1@14940.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1851797104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N HOWES ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212011",
            "telephone_number": "970-672-4331",
            "fax_number": "970-484-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N HOWES ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212011",
            "telephone_number": "970-672-4331",
            "fax_number": "970-484-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JULIANNA",
        "middle_name": "VALDEZ",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0004154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.