Healthcare Provider Details

I. General information

NPI: 1154936680
Provider Name (Legal Business Name): TAYLOR R SIKES PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2020
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 MAPLE ST STE 14
MIDDLEBURY VT
05753-1231
US

IV. Provider business mailing address

8909 SW 70TH COURT RD UNIT 104
OCALA FL
34476-5676
US

V. Phone/Fax

Practice location:
  • Phone: 802-234-8645
  • Fax:
Mailing address:
  • Phone: 802-234-8645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9534163
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number101.0138322
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: