P Praxis·MD
● Active Type 1 · Individual

Jordan E Taylor, PNP

Nurse Practitioner·Coeur D Alene, ID· NPI 1144306549 · Enumerated 2006 · 19 years on NPI
Taylor is 1 of 79 nurse practitioner providers in Coeur D Alene and 1 of 1280 in Idaho.
NPI age
19 years
Enumerated 2006-10-27
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
WA, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-03-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
1
In the 27% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
1090 W Park Pl
Coeur D Alene, ID 838142785
📞 2082152005
Mailing address
Po Box 1387
Hayden, ID 838351387

Additional practice locations

1 secondary location on file with NPPES.

Location 2
700 W Ironwood Dr, Suite 155
Coeur D Alene, ID 838142656
📞 2086670585fax 2086670876

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    WA license #AP60904961 taxonomy 363LF0000X
  • Nurse Practitioner
    Definition to come...
    ID license #NP729A taxonomy 363LP0200X

Identifiers

TypeValueNotes
01 (ID) 000010153955 REGENCE BLUE SHIELD
05 (WA) 1047507
05 (MT) 1144306549
05 (AK) NP708ID
05 (ID) 807343600
05 (WA) 9653353
01 (WA) AP60904961 ARNP
01 (ID) NPXN3 BLUE CROSS
01 (ID) 000010153954 REGENCE BLUE SHIELD
01 (ID) NPXN2 BLUE CROSS OF IDAHO
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 58 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Coeur D Alene in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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