| Miss Ligia J Taylor, NURSE PRACTITIONER | |
|
132 Harry Bell Rd, Fort Leavenworth, KS 66027-1126 | |
| (417) 655-0627 | |
| Not Available |
| Full Name | Miss Ligia J Taylor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 132 Harry Bell Rd, Fort Leavenworth, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013174317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 347629-4405 (Utah) | Primary |
| 363L00000X | Nurse Practitioner | 53-75567-051 (Kansas) | Secondary |
| Entity Name | Salt Lake Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295066116 PECOS PAC ID: 6709915473 Enrollment ID: O20120315000189 |
| Entity Name | University Of Utah Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118 |
| Entity Name | University Of Utah Pediatric Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Ligia J Taylor, NURSE PRACTITIONER 132 Harry Bell Rd, Fort Leavenworth, KS 66027-1126 Ph: (417) 655-0627 | Miss Ligia J Taylor, NURSE PRACTITIONER 132 Harry Bell Rd, Fort Leavenworth, KS 66027-1126 Ph: (417) 655-0627 |
Alexandra Nicole Dibasilio, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Pope Ave Apt 8, Fort Leavenworth, KS 66027 Phone: 410-960-5206 | |
Vincent Krause, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6000 Fax: 913-684-6612 | |
Mr. Jerry Lee Green Jr., FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton), Fort Leavenworth, KS 66027 Phone: 913-684-6562 Fax: 913-684-6208 | |
Ernest Francia Degenhardt, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Munson Army Health Center (attn) Mcxn-cod. Ms Cotton, Fort Leavenworth, KS 66027 Phone: 913-684-6562 Fax: 913-684-6208 | |
James Lawrence Sall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6671 | |
Mrs. Jennifer Herriage, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6000 |