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OLIVIA TAYLOR
NPI 1013805134
Student in an Organized Health Care Education/Training Program in Mesa, AZ

Active since June 26, 2025PECOS Enrolled
1300 S COUNTRY CLUB DR STE 3, MESA, AZ 85210(480) 827-5500 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2026, Jun 26, 2025 (2 updates tracked since 2025).

About Olivia Taylor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVIA TAYLOR (NPI 1013805134) is an individual student in an organized health care education/training program in Mesa, Arizona, licensed in Arizona (R82407) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1013805134
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameOLIVIA TAYLOR
Location Address1300 S COUNTRY CLUB DR STE 3Mesa, AZ 85210-5162
Mailing Address17617 Woolworth AveOmaha, NE 68130-4617 · (402) 677-8149
Phone(480) 827-5500
Sole ProprietorYes
Enumeration DateJune 26, 2025
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1013805134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in AZ · R82407
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1300 S COUNTRY CLUB DR STE 3, Mesa, AZ 85210
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Secondary Practice Location 1

Location 117617 Woolworth AveOmaha, NE 68130-4617 · Phone (402) 677-8149

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Taylor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ABDELRAHMAN HAFEZ MD
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
CASSIDY S MURPHY FNP
Nurse Practitioner (Family)
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
DR. AUSTIN GRANT SIMMONS DO
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
THOMAS FOTAKIS FOSS M.D.
Family Medicine
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
VENKAT RAGHAV BHASKARA DO
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
PETER J COOK DO
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
DR. HYTHAM SAMI HAMMAD MD
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
DR. AARON SAMUEL RABINOWITZ MD
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olivia Taylor's NPI number?

The NPI number for Olivia Taylor is 1013805134. It was assigned to this individual provider in the NPPES registry on June 26, 2025.

Where is Olivia Taylor located?

Olivia Taylor practices at 1300 S Country Club Dr Ste 3, Mesa, AZ 85210. The listed phone number is (480) 827-5500.

What is Olivia Taylor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Olivia Taylor enrolled in Medicare?

Yes. Olivia Taylor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olivia Taylor was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.