Taelor McKenzie Deike, FNP
Individual provider Active NPI Family Nurse Practitioner · Banner Elk, NC
NPI 1962226092 · NPPES record last updated Jun 16, 2026
Key facts
- NPI
- 1962226092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1178699 (NC)
- Practice address
- 2837 Broadstone Road
Banner Elk, NC 28604 - Phone
- (828) 260-9255
- NPI assigned
- Nov 14, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Apr 21, 2026 through Apr 21, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1178699 | TX | MD | Family Nurse Practitioner |
Interoperability endpoints
- taelor.deike.1@27825.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1178699 | NC | Yes |
Addresses
Primary practice location
2837 Broadstone Road
Banner Elk, NC 28604
Mailing address
150 Wyndham Way
Boone, NC 28607-6786
Phone (512) 730-9455
Other providers in Banner Elk, NC
- Christine Halterman PLLC
- Consolidated Resources Health Care Fund I, L.P.
- Roberta Spencer Cook
- Matthew Lee Cooper
- Arianne Marie Davis
- Thomas Philmore Dellinger IV
- Alfred Douglas Earwood
- Michelle Leigh Eggers
- Katherine Kragiel Elder
- Elizabeth B. Hill, M.D., PLLC
All providers in Banner Elk, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.