JORDAN E TAYLOR PNP NPI 1144306549

NPI Information

NPI: 1144306549
Provider Name: JORDAN E TAYLOR, PNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
700 W IRONWOOD DR
SUITE 155
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 667-0585
Get Directions

Jordan E Taylor, PNP is a family nurse practitioner in Coeur D Alene, ID. Jordan E Taylor, PNP NPI is 1144306549. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

700 W IRONWOOD DR
SUITE 155
COEUR D ALENE, ID
ZIP 83814-656
Phone: (208) 667-0585
Fax: (208) 667-0876

The NPI 1144306549 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 12/14/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	NP729A	IDAHO	No
2	363LF0000X	Nurse Practitioner	Family	AP60904961	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1047507	MEDICAID	WASHINGTON
2	807343600	MEDICAID	IDAHO
3	NP708ID	MEDICAID	ALASKA
4	000010153955	OTHER	IDAHO	REGENCE BLUE SHIELD
5	9653353	MEDICAID	WASHINGTON
6	NPXN3	OTHER	IDAHO	BLUE CROSS
7	000010153954	OTHER	IDAHO	REGENCE BLUE SHIELD
8	1144306549	MEDICAID	MONTANA
9	NPXN2	OTHER	IDAHO	BLUE CROSS OF IDAHO
10	AP60904961	OTHER	WASHINGTON	ARNP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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