Individual provider Active NPI

Angela Owens Taylor, F.N.P.

  • Family Nurse Practitioner
  • Stonewall, LA
National Provider Identifier
1942650429
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131161 Issued in TX
Practice address
324 Plantation Hills Blvd
Stonewall, LA 71078
Phone
(318) 531-8543
Fax
(318) 591-3880
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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 AP131161 TX Primary

Addresses

Primary practice location

324 Plantation Hills Blvd
Stonewall, LA 71078

Mailing address

324 Plantation Hills Blvd
Stonewall, LA 71078
Phone (318) 220-6879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20170425000658 LA Practitioner - Nurse Practitioner 7517250020 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Magnolia Family Medicine, LLCGroup PAC ID 5395185599, 2 clinicians

Practice addresses (Care Compare)

324 Plantation Hills Blvd
Stonewall, LA 71078-2838
Phone (318) 531-8543

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Family Medicine, LLC CurrentSince Apr 23, 2024 Accepting new patients
Desoto Hospital Association Current Accepting new patients
Desoto Hospital Assocation CurrentSince Sep 26, 2017 Accepting new patients
Desoto Hospital Association CurrentSince Apr 17, 2017 Accepting new patients
Desoto Hospital Association CurrentSince Apr 17, 2017 Accepting new patients

Locations

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

130 Jefferson St
Mansfield, LA 71052
Phone (318) 872-2700

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1942650429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 PLANTATION HILLS BLVD",
            "city": "STONEWALL",
            "state": "LA",
            "postal_code": "71078",
            "telephone_number": "318-220-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 PLANTATION HILLS BLVD",
            "city": "STONEWALL",
            "state": "LA",
            "postal_code": "71078",
            "telephone_number": "318-531-8543",
            "fax_number": "318-591-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANGELA",
        "middle_name": "OWENS",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stonewall, LA

Sources for this page

Verify at the official NPI Registry.