Elizabeth Anne Taylor, SDNP, SWHNP

Key facts

NPI: 1972176022
Entity type: Individual (NPI type 1)
Primary specialty: Women's Health Nurse Practitioner 363LW0102X
License: 4924273-3102 (UT)
Practice address: 2354 Leda LN
Santa Clara, UT 84765-5666
Phone: (801) 638-7826
NPI assigned: Jul 16, 2021
Sex: Female
Sole proprietor: Yes

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.

Mesquite Womens Clinic LLC Obstetrics & Gynecology Physician · Mesquite, NV · NPI 1659492379

Medicare reassignment Care Compare group NPD NV

Hospital & facility affiliations 1

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

MMC of Nevada LLC Critical Access Hospital · Mesquite, NV · NPI 1275588782

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: University of Utah School of Medicine, 2022
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Mesquite Womens Clinic LLC (3 clinicians)

Practice addresses (Care Compare)

1301 Bertha Howe Ave
Suite 2
Mesquite, NV 89027-7503
Phone (702) 345-2122

Hospital & facility affiliations

Mesa View Regional Hospital Hospital · Mesquite, NV · CCN 291307

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NV
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240329000714	NV	Practitioner - Nurse Practitioner	0648618470	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
4924273-3102	UT	MD	Women's Health Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Mesquite Womens Clinic LLC		Current since Jan 24, 2024	Accepting new patients

Locations

1301 Bertha Howe Ave
Ste 2
Mesquite, NV 89027
Phone (435) 599-7877

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Women's Health Nurse Practitioner	363LW0102X	4924273-3102	UT	Yes

Addresses

Primary practice location

2354 Leda LN
Santa Clara, UT 84765-5666

Mailing address

2354 Leda LN
Santa Clara, UT 84765-5666
Phone (801) 638-7826

Other providers in Santa Clara, UT

All providers in Santa Clara, UT · Women's Health Nurse Practitioner in Utah

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2021. 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).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.