Taylor Nicole Waxley, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

120206 Issued in AR

Practice address

525 W Faulkner St
El Dorado, AR 71730-4518

Phone

(318) 322-9252

NPI assigned

Feb 3, 2026

Last updated

Feb 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Provision Health Care LLC

  • Family Nurse Practitioner
  • El Dorado, AR
  • NPI 1134090061
  Medicare reassignment

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1891646246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W FAULKNER ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W FAULKNER ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304518",
            "telephone_number": "318-322-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAXLEY",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "120206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donya Burroughs Watson, M.D.
• Malory Watson, MSN, WHNP-BC
• Meredith Nicole Watson, PT
• Patrick Watson
• Robert A Watson II, MD
• Paula Webb, LAC
• Ashley Nicole Webster, COTA/L
• Dean T Weddle, DDS
• Suzanna Wetherington, M.S., CCC-SLP
• Elanena White

• Nurse Practitioner in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.

Verify at the official NPI Registry.