Individual provider Active NPI

Terrence Taylor, DNP

  • Primary Care Nurse Practitioner
  • Duncanville, TX
National Provider Identifier
1922437706
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP124581 Issued in TX
Practice address
529W Wheatland Rd
Duncanville, TX 75116-4515
Phone
(214) 540-7727
Fax
(972) 298-2429
NPI assigned
Nov 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X AP124581 TX
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X AP124581 TX
Acute Care Nurse Practitioner 363LA2100X 726423 TX
Acute Care Nurse Practitioner 363LA2100X AP124581 TX
Primary Care Nurse Practitioner 363LP2300X AP124581 TX Primary

Addresses

Primary practice location

529W Wheatland Rd
Duncanville, TX 75116-4515

Mailing address

529 W Wheatland Rd
Duncanville, TX 75116-4515
Phone (214) 540-7727

Other identifiers 3

IdentifierTypeStateIssuer
3527368-02MedicaidTX
AP124581OtherTXACNP LICENSE
726423OtherTXACNP LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ttaylor224670@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150327000481 TX Practitioner - Nurse Practitioner 2466779640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

726 S Cockrell Hill Rd
Duncanville, TX 75137-2620
Phone (972) 298-2427

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
726423TXMDAcute Care Nurse Practitioner
AP124581TXMDPrimary Care Nurse Practitioner

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHDGCD/Endpoint/HHDGCD
  • Direct secure messaging: xaf5375@yourcarecommunity.org
  • Direct secure messaging: terrence.taylor@txntmu.eclinicaldirectplus.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": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1922437706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 W WHEATLAND RD",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164515",
            "telephone_number": "214-540-7727",
            "fax_number": "972-298-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529W WHEATLAND RD",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164515",
            "telephone_number": "214-540-7727",
            "fax_number": "972-298-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TERRENCE",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-02",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "AP124581",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP124581",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "726423",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP124581",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP124581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3527368-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACNP LICENSE",
            "identifier": "AP124581",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACNP LICENSE",
            "identifier": "726423",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ttaylor224670@direct.sw.org",
            "affiliation": "N",
            "address_1": "2400 N I 35",
            "city": "Waxahachie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751655240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

Verify at the official NPI Registry.