Active NPIIndividual provider

Tina M Taylor, APRN

Nurse Practitioner, Pediatrics in Middletown, Connecticut

NPI Number1063882538
Practice location
400 Saybrook RD Ste 206, Middletown, CT 06457-4775
Fax
—
Last updated
October 8, 2025

Tina M Taylor is a Nurse Practitioner, Pediatrics based in Middletown, CT. Tina M Taylor practices in Middletown, CT and has the professional credentials of APRN. The NPI Number for Tina M Taylor is 1063882538 and holds a License No. 6365 (CT). The current practice location address for Tina M Taylor is 400 Saybrook RD Ste 206, Middletown, CT 06457-4775 and can be reached out via phone at 860-344-0333.

Provider Profile Details

NPI Number
1063882538
Provider Name
Tina M Taylor
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
400 Saybrook RD Ste 206, Middletown, CT 06457-4775
Phone Number
860-344-0333
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
September 28, 2015
Last Update Date
October 8, 2025
Certification Date
October 8, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Saybrook RD Ste 206
Middletown, CT 06457-4775
Zip
06457-4775
Phone Number
860-344-0333
Middletown, CT 06457Get directions →

Provider Business Mailing Address Details

Address
170 Flanders RD
Niantic, CT 06357-1208
City
Niantic
State
CT
Zip
06357-1208
Phone Number
860-739-7444
Fax Number
401-444-5527

License Information

License Number (1)
6365
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Pediatrics · 363LP0200X · Primary
License Number (2)
APRN01363
License State (2)
RI
Taxonomy (2)
Nurse Practitioner, Pediatrics · 363LP0200X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tina M Taylor, APRN?

The NPI number of Tina M Taylor, APRN is 1063882538. It was assigned on September 28, 2015 and is currently active in the NPPES registry.

What is the specialty of Tina M Taylor, APRN?

Tina M Taylor, APRN is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in CT under license number 6365.

Where does Tina M Taylor, APRN practice?

The practice location is 400 Saybrook RD Ste 206, Middletown, CT 06457-4775. The office can be reached at 860-344-0333 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063882538 directly on the NPPES registry website.

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