Active NPI
Taylor Nicole Hart, O.D.
- Optometrist
- Kingsport, TN
National Provider Identifier
1982311130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3875
- Practice address
- 4260 Fort Henry Dr Ste 16
Kingsport, TN 37663-2248 - Phone
- (423) 246-6317
- Fax
- (423) 239-9602
- NPI assigned
- Oct 27, 2022
- Last updated
- Jul 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618003188 | VA | |
| Optometrist | 152W00000X | 3875 | TN | Primary |
Addresses
Primary practice location
4260 Fort Henry Dr Ste 16
Kingsport, TN 37663-2248
Mailing address
4260 Fort Henry Dr Ste 16
Kingsport, TN 37663-2248
Phone (423) 246-6317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4260 Fort Henry Dr
Suite 16
Kingsport, TN 37663-2248
Phone (423) 246-6317
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.65 of 100
- Quality
- 45.3
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
Locations
4260 Fort Henry Dr
Ste 16
Kingsport, TN 37663
Phone (423) 246-6317
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1982311130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4260 FORT HENRY DR STE 16",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376632248",
"telephone_number": "423-246-6317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4260 FORT HENRY DR STE 16",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376632248",
"telephone_number": "423-246-6317",
"fax_number": "423-239-9602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "TAYLOR",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-27",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618003188",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.