Individual provider Active NPI

Tamika Taylor, FNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1851901284
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11008368 Issued in FL
Practice address
166 Auburn Oaks Rd W
Jacksonville, FL 32218-4979
Phone
(864) 270-3312
NPI assigned
Jul 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 11008368 FL Primary

Addresses

Primary practice location

166 Auburn Oaks Rd W
Jacksonville, FL 32218-4979

Mailing address

166 Auburn Oaks Rd W
Jacksonville, FL 32218-4979
Phone (864) 270-3312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210722000972 FL Practitioner - Nurse Practitioner 4981007358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiorenal Therapeutics LLCGroup PAC ID 7416280425, 34 clinicians

Practice addresses (Care Compare)

6817 Southpoint Pkwy
Suite 203
Jacksonville, FL 32216-6286
Phone (904) 330-1024

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11008368FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiorenal Therapeutics LLC Multi-Specialty CurrentSince Jun 1, 2021 Accepting new patients
First Coast Nephrology Inc Multi-Specialty CurrentSince Oct 16, 2025 Accepting new patients

Locations

4123 University Blvd S
Ste E
Jacksonville, FL 32216
Phone (904) 737-2722

6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202

1594 Kingsley Ave
Orange Park, FL 32073
Phone (904) 264-8621

Organizations & group practices 2

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": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1851901284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 AUBURN OAKS RD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184979",
            "telephone_number": "864-270-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 AUBURN OAKS RD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184979",
            "telephone_number": "864-270-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TAMIKA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.