NPIMap

Individual provider Active NPI

Taylor Vicory, MSN, FNP-C

  • Family Nurse Practitioner
  • Durango, CO
National Provider Identifier
1982229373
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0995568-NP Issued in CO
Practice address
316 Sawyer Dr
Durango, CO 81303-6560
Phone
(970) 259-3110
NPI assigned
Jun 11, 2020
Last updated
Jun 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0995568-NP CO Primary

Addresses

Primary practice location

316 Sawyer Dr
Durango, CO 81303-6560

Mailing address

105 River Oaks CT
Durango, CO 81303-6908
Phone (602) 332-8594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210107000680 CO Practitioner - Nurse Practitioner 2365855541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
La Plata Family Medicine Assoc PCGroup PAC ID 5496727240, 8 clinicians

Practice addresses (Care Compare)

316 Sawyer Dr
Durango, CO 81303-6560
Phone (970) 259-3110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0995568-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Plata Family Medicine Assoc PC CurrentSince Sep 8, 2020 Accepting new patients

Locations

316 Sawyer Dr
Durango, CO 81303
Phone (970) 259-3110

Interoperability endpoints

  • Direct secure messaging: taylor.vicory.1@21671.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1982229373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RIVER OAKS CT",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036908",
            "telephone_number": "602-332-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 SAWYER DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036560",
            "telephone_number": "970-259-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICORY",
        "first_name": "TAYLOR",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0995568-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.