Individual provider Active NPI

Elizabeth Hope Taylor, CRNP

  • Family Nurse Practitioner
  • Cambridge, MD
National Provider Identifier
1992372833
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R197389 Issued in MD
Practice address
503 Muir St Ste a
Cambridge, MD 21613-1848
Phone
(410) 228-4045
Fax
(833) 908-2286
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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 R197389 MD Primary

Addresses

Primary practice location

503 Muir St Ste a
Cambridge, MD 21613-1848

Mailing address

503 Muir St Ste a
Cambridge, MD 21613-1848
Phone (410) 228-4045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20210803000131 MD Practitioner - Nurse Practitioner 7416351192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choptank Community Health System IncGroup PAC ID 0648189274, 40 clinicians

Practice addresses (Care Compare)

503 Muir St
Suite a
Cambridge, MD 21613-1848
Phone (410) 228-4045

808 S 5TH Ave
Denton, MD 21629-1398
Phone (410) 479-2650

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R197389MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Choptank Community Health System Inc CurrentSince Nov 8, 2021 Accepting new patients
Choptank Community Health System Inc CurrentSince Nov 8, 2021 Accepting new patients

Locations

503 Muir St
Ste A
Cambridge, MD 21613
Phone (410) 228-4045

301 Randolph St
Denton, MD 21629
Phone (410) 479-8346

Interoperability endpoints

  • Direct secure messaging: elizabeth.taylor.1@20853.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1992372833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MUIR ST STE A",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131848",
            "telephone_number": "410-228-4045",
            "fax_number": "833-908-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MUIR ST STE A",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131848",
            "telephone_number": "410-228-4045",
            "fax_number": "833-908-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ELIZABETH",
        "middle_name": "HOPE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R197389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.