Provider Demographics
NPI:1154936680
Name:SIKES, TAYLOR R (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:R
Last Name:SIKES
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8909 SW 70TH COURT RD UNIT 104
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-5676
Mailing Address - Country:US
Mailing Address - Phone:802-234-8645
Mailing Address - Fax:
Practice Address - Street 1:99 MAPLE ST STE 14
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-1231
Practice Address - Country:US
Practice Address - Phone:802-234-8645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-11
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9534163163W00000X
VT101.0138322363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse