Individual provider Active NPI

Simon Mae Taylor, FNP-C

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1972980811
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60603282 Issued in WA
Practice address
911 E Pike St Ste 319
Seattle, WA 98122-3853
Phone
(206) 880-3266
NPI assigned
Apr 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 823936 NY
Registered Nurse 163W00000X RN60470931 WA
Family Nurse Practitioner 363LF0000X 348621 NY
Family Nurse Practitioner 363LF0000X AP60603282 WA Primary

Addresses

Primary practice location

911 E Pike St Ste 319
Seattle, WA 98122-3853

Mailing address

911 E Pike St Ste 319
Seattle, WA 98122-3853
Phone (206) 880-3266

Other practice location 1

611 12th Ave S
Seattle, WA 98144-2007
Phone (206) 324-9360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20160808002251 WA Practitioner - Nurse Practitioner 8022302421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seattle Indian Health BoardGroup PAC ID 7517866973, 29 clinicians

Practice addresses (Care Compare)

611 12TH Ave S
Seattle, WA 98144-2007
Phone (206) 324-9360

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
823936NYMDRegistered Nurse
RN60470931WAMDRegistered Nurse
348621NYMDFamily Nurse Practitioner
AP60603282WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Registered Nurse CurrentSince Oct 1, 2015 Accepting new patients
Seattle Indian Health Board CurrentSince Oct 4, 2022 Accepting new patients
Sea Mar Community Health Centers Family Current Accepting new patients
Seattle Indian Health Board CurrentSince Oct 4, 2022 Accepting new patients
Reclaiming Our Bodies, PLLC CurrentSince Aug 11, 2024 Accepting new patients
Sea Mar Community Health Centers CurrentSince Oct 1, 2015 Accepting new patients

Locations

505 Broadway E
Seattle, WA 98102
Phone (206) 395-4819

124 2nd Ave S
Seattle, WA 98104
Phone (206) 292-6214

12736 33rd Ave NE
#200
Seattle, WA 98125
Phone (206) 324-9360

911 E Pike St
Ste 319
Seattle, WA 98122
Phone (206) 880-3266

611 12th Ave S
Ste 200
Seattle, WA 98144
Phone (206) 324-9360

611 12th Ave S
Seattle, WA 98144
Phone (206) 324-9360

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

Interoperability endpoints

  • Direct secure messaging: simon.taylor@183477640364036.direct.elationemr.com
  • Direct secure messaging: simon.taylor@217526021193732.direct.elationemr.com

Organizations & group practices 6

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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1972980811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E PIKE ST STE 319",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981223853",
            "telephone_number": "206-880-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E PIKE ST STE 319",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981223853",
            "telephone_number": "206-880-3266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 12th Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981442007",
            "country_code": "US",
            "telephone_number": "206-324-9360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SIMON",
        "middle_name": "MAE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "823936",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60470931",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348621",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60603282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.