Active NPI
Marna Taylor
- Family Nurse Practitioner
- Sterling Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704180803
- Practice address
- 4301 E 14 Mile Rd
Sterling Heights, MI 48310-6411 - Phone
- (586) 722-6036
- Fax
- (586) 939-7494
- NPI assigned
- Sep 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704180803 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704180803 | MI | Primary |
Addresses
Primary practice location
4301 E 14 Mile Rd
Sterling Heights, MI 48310-6411
Mailing address
2651 Saulino CT
Dearborn, MI 48120-1556
Phone (313) 842-7010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47014180803 | Other | MI | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1964 W 11 Mile Rd
Be Well Medical Center
Berkley, MI 48072-3046
Phone (248) 544-9300
27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704180803 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Arab Community Center for Economic and Social Services Access | Past | Accepting new patients | |
| Center for Hand & Extremity Reconstructive Surgery, PLC | Past | Accepting new patients |
Locations
1964 W 11 Mile Rd
Ste 1
Berkley, MI 48072
Phone (248) 544-9300
1964 W 11 Mile Rd
Berkley, MI 48072
Phone (248) 544-9300
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
Interoperability endpoints
- marna.taylor@dchc.directbygreenway.com
- https://fhir.meditouchehr.com/api/fhir/r4/
- mtaylor571854@direct.hfhs.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
- Diagnostic Radiology Physician
- Westland, MI
- NPI 1043559404
-
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
-
- Community/Behavioral Health Agency
- Dearborn, MI
- NPI 1619285772
-
- Orthopaedic Hand Surgery Physician
- Southfield, MI
- NPI 1255482816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1861975856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2651 SAULINO CT",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201556",
"telephone_number": "313-842-7010",
"fax_number": "313-842-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 E 14 MILE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483106411",
"telephone_number": "586-722-6036",
"fax_number": "586-939-7494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "MARNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704180803",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704180803",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "47014180803",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.