TAZIA SHANICE TAYLOR PMHNP-BC NPI 1932947991

NPI Information

  • NPI: 1932947991
  • Provider Name: TAZIA SHANICE TAYLOR, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3203 DOGWOOD LN
    CARMEL, IN
    ZIP 46032
  • Phone: (317) 827-2987

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NPI Details

Tazia Shanice Taylor, PMHNP-BC is a psychiatric/mental health nurse practitioner in Carmel, IN with 1 years of experience. Tazia Shanice Taylor, PMHNP-BC NPI is 1932947991. 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:

3203 DOGWOOD LN
CARMEL, IN
ZIP 46032-629
Phone: (317) 827-2987
Fax: (317) 219-0879

The NPI 1932947991 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 7/16/2024 and was last updated on 8/7/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health71015521AINDIANAYes

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
1300094060MEDICAIDINDIANA

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: 3/30/2025

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