Individual provider Active NPI

Ian Dalton Taylor, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Kailua, HI
National Provider Identifier
1891130761
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN 1567 Issued in HI
Practice address
642 Ulukahiki St Ste 300
Kailua, HI 96734-4439
Phone
(808) 261-4476
Fax
(808) 263-4476
NPI assigned
May 6, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2013

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 APRN 1567 HI Primary

Addresses

Primary practice location

642 Ulukahiki St Ste 300
Kailua, HI 96734-4439

Mailing address

353 Maluniu Ave
Kailua, HI 96734-2370
Phone (808) 286-3274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20131226001610 HI Practitioner - Nurse Practitioner 6901033778 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN 1567HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Community Health Services CurrentSince Jun 1, 2015 Accepting new patients

Locations

2228 Liliha St
Ste 408
Honolulu, HI 96817

2228 Liliha St
Ste 404
Honolulu, HI 96817
Phone (808) 258-0462

2230 Liliha St
Ste 104
Honolulu, HI 96817
Phone (808) 261-4476

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": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1891130761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 MALUNIU AVE",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342370",
            "telephone_number": "808-286-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST STE 300",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344439",
            "telephone_number": "808-261-4476",
            "fax_number": "808-263-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "IAN",
        "middle_name": "DALTON",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN 1567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.