Individual provider Active NPI

Taylor Ann Deal, MSN, RN

  • Nurse Practitioner
  • Fremont, NE
National Provider Identifier
1942925334
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
115436 Issued in NE
Practice address
2560 N Healthy Way
Fremont, NE 68025-2315
Phone
(402) 941-7850
Fax
(402) 815-9181
NPI assigned
Oct 7, 2022
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN.1671325 CO
Nurse Practitioner 363L00000X 115436 NE Primary

Addresses

Primary practice location

2560 N Healthy Way
Fremont, NE 68025-2315

Mailing address

825 S 169TH St
Omaha, NE 68118-9300
Phone (402) 941-7850

Other practice location 1

5500 S Sycamore St
Littleton, CO 80120-1132
Phone (303) 730-8858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20240912002499 NE Practitioner - Nurse Practitioner 0648710970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Colorado School of Medicine, Aurora, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Methodist Fremont HealthGroup PAC ID 7911258520, 89 clinicians

Practice addresses (Care Compare)

2560 N Healthy Way
Fremont Health Behavioral Medicine
Fremont, NE 68025-2513
Phone (402) 941-7240

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.1671325COMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Fremont Health CurrentSince Sep 30, 2024 Accepting new patients

Locations

2560 N Healthy Way
Fremont, NE 68025
Phone (402) 727-5863

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1942925334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S 169TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681189300",
            "telephone_number": "402-941-7850",
            "fax_number": "402-815-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 N HEALTHY WAY",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252315",
            "telephone_number": "402-941-7850",
            "fax_number": "402-815-9181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 S Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801201132",
            "country_code": "US",
            "telephone_number": "303-730-8858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAL",
        "first_name": "TAYLOR",
        "middle_name": "ANN",
        "credential": "MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CO",
            "license": "RN.1671325",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "115436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.