Individual provider Active NPI

Joanna Mae Taylor, FNP

  • Family Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1972015998
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10744 Issued in AZ
Practice address
13943 N 91St Ave Ste I
Peoria, AZ 85381-3692
Phone
(623) 815-2690
Fax
(623) 815-2689
NPI assigned
Oct 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X TAP10744 AZ
Family Nurse Practitioner 363LF0000X AP10744 AZ Primary

Addresses

Primary practice location

13943 N 91St Ave Ste I
Peoria, AZ 85381-3692

Mailing address

13943 N 91St Ave Ste I
Peoria, AZ 85381-3692
Phone (623) 815-2690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20171220001088 AZ Practitioner - Nurse Practitioner 1951669902 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Arthritis Care LLCGroup PAC ID 1456345115, 8 clinicians

Practice addresses (Care Compare)

13943 N 91St Ave BLDG I
Peoria, AZ 85381-3688
Phone (623) 815-2690

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TAP10744AZMDUrology Physician
AP10744AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth G. Lawlor, DO, PLLC CurrentSince Oct 1, 2021 Accepting new patients
Kenneth G. Lawlor, DO, PLLC CurrentSince Oct 1, 2021 Accepting new patients
Urology Care, P.C. Urology CurrentSince Oct 31, 2017 Accepting new patients
Valley Arthritis Care LLC CurrentSince Jun 1, 2023 Accepting new patients
Orange Medical LLC PastSince Jun 1, 2023 Accepting new patients

Locations

13555 W McDowell Rd
Ste 203
Goodyear, AZ 85395
Phone (623) 512-4190

1355 W White Mountain Blvd
Ste A
Lakeside, AZ 85929
Phone (928) 358-4086

13943 N 91st Ave
Ste I
Peoria, AZ 85381
Phone (623) 815-2690

2060 W Whispering Wind Dr
Ste 264
Phoenix, AZ 85085
Phone (623) 235-6889

3108 Clearwater Dr
Ste A
Prescott, AZ 86305
Phone (928) 717-0788

13613 W Camino del Sol
Ste 4
Sun City West, AZ 85375
Phone (623) 440-6591

6226 E Pima St
Ste 100
Tucson, AZ 85712
Phone (520) 298-7200

Interoperability endpoints

  • Direct secure messaging: joanna.taylor.p1@direct.prescottrheum.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1972015998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE STE I",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813692",
            "telephone_number": "623-815-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE STE I",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813692",
            "telephone_number": "623-815-2690",
            "fax_number": "623-815-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JOANNA",
        "middle_name": "MAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "TAP10744",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.