Taylor Thomas Addis, NP
Individual provider Active NPI Nurse Practitioner · Durham, NC
NPI 1982179800 · NPPES record last updated Oct 7, 2018
Key facts
- NPI
- 1982179800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5011065 (NC)
- Practice address
- 2400 Pratt St
Durham, NC 27705-3976 - Phone
- (919) 668-1002
- NPI assigned
- Oct 7, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Duke Health Integrated Practice Inc
Practice addresses (Care Compare)
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
Hospital & facility affiliations
- Duke University Hospital
- Duke Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20190128002207 | NC | Practitioner - Nurse Practitioner | 3678810769 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5011065 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current |
Accepting new patients |
Locations
2400 Pratt St
Durham, NC 27705
Phone (919) 668-1002
2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
Interoperability endpoints
- tthomas178607@direct.medicine.duke.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5011065 | NC | Yes |
Addresses
Primary practice location
2400 Pratt St
Durham, NC 27705-3976
Mailing address
12444 N Exeter Way
Durham, NC 27703-8532
Phone (434) 238-7184
Other providers in Durham, NC
- Adapt-Ur-Home
- Adaptive Integrated Methods, LLC
- Adawn Healing, PLLC
- Caisie Adcock
- Rachel Alison Adcock
- Mamie Yvonne Addison
- Frank Addonizio
- Oyinkansola Adedipe
- Bukola O Adegbola
- Timothy Adekoya
All providers in Durham, NC · 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 Oct 7, 2018. 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.