Individual provider Active NPI

Andrea Celine Willoughby Taylor, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntingdon, PA
National Provider Identifier
1992293419
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
116675 Issued in NE
Practice address
1225 Warm Springs Ave
Huntingdon, PA 16652-2350
Phone
(814) 643-2290
NPI assigned
Apr 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9338287 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP024431 PA
Family Nurse Practitioner 363LF0000X SP019987 PA
Registered Nurse 163W00000X 9338287 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 116675 NE Primary

Addresses

Primary practice location

1225 Warm Springs Ave
Huntingdon, PA 16652-2350

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-6350

Other names 1

  • Andrea Willoughby Taylor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211201003243 PA Practitioner - Nurse Practitioner 6103216395 Reassigns benefits to 2 organizations
I20250930002521 FL Practitioner - Nurse Practitioner 6103216395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9338287FLMDRegistered Nurse
SP019987PAMDFamily Nurse Practitioner
SP024431PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Mind & Medrx MGT. Inc Psychiatric/Mental Health Current Accepting new patients
Connectionspa LLC CurrentSince Feb 28, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Aug 29, 2025 Accepting new patients
Connectionspa LLC CurrentSince Feb 28, 2025 Accepting new patients

Locations

2390 E Camelback Rd
Ste 400
Phoenix, AZ 85016
Phone (703) 543-9948

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1100 S Cameron St
Ste 2
Harrisburg, PA 17104
Phone (717) 408-1353

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Organizations & group practices 4

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": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1992293419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-6350",
            "fax_number": "814-372-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WARM SPRINGS AVE",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522350",
            "telephone_number": "814-643-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOUGHBY TAYLOR",
        "first_name": "ANDREA",
        "middle_name": "CELINE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9338287",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP024431",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019987",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9338287",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "116675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "TAYLOR",
            "middle_name": "WILLOUGHBY",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntingdon, PA

Sources for this page

Verify at the official NPI Registry.