Individual provider Active NPI

Jasmine Nicole Howard

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1003602848
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71016660A Issued in IN
Practice address
5435 Emerson Way
Indianapolis, IN 46226-1466
Phone
(317) 362-0293
Fax
(317) 744-9556
NPI assigned
Apr 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 28260688A IN
Family Nurse Practitioner 363LF0000X 71016660A IN Primary

Addresses

Primary practice location

5435 Emerson Way
Indianapolis, IN 46226-1466

Mailing address

12368 Rustic Meadow Dr
Indianapolis, IN 46229-3850
Phone (317) 965-3518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618000655 IN Practitioner - Nurse Practitioner 7517478365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children Express Care Clinic LLCGroup PAC ID 5799196366, 2 clinicians

Practice addresses (Care Compare)

5435 Emerson Way
Suite 100
Indianapolis, IN 46226-1470
Phone (317) 362-0293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28260688AINMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Children Express Care Clinic LLC Family CurrentSince Apr 12, 2025 Accepting new patients

Locations

5435 Emerson Way
Ste 100
Indianapolis, IN 46226
Phone (317) 362-0293

5435 Emerson Way
Indianapolis, IN 46226
Phone (317) 362-0293

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22102/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jasmine.howard.1@22102.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1003602848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12368 RUSTIC MEADOW DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462293850",
            "telephone_number": "317-965-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 EMERSON WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261466",
            "telephone_number": "317-362-0293",
            "fax_number": "317-744-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "JASMINE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "IN",
            "license": "28260688A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016660A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.