Active NPI
Ashley Arredondo
- Family Nurse Practitioner
- Schererville, IN
National Provider Identifier
1013552041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71009711B
- Practice address
- 1515 US Highway 41
Schererville, IN 46375-1317 - Phone
- (219) 763-8112
- NPI assigned
- Nov 13, 2019
- Last updated
- May 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71009711B | IN | Primary |
Addresses
Primary practice location
1515 US Highway 41
Schererville, IN 46375-1317
Mailing address
1515 US Highway 41
Schererville, IN 46375-1317
Phone (219) 763-8112
Other practice location 1
9711 Valparaiso Dr Ste B
Munster, IN 46321-2910
Phone (219) 595-5754
Other practice location 2
901 MacArthur Blvd
Munster, IN 46321-2901
Phone (708) 769-6254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210608001786 | IN | Order and Referring Only - Nurse Practitioner | 3678973971 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71009711B | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Health Centers, Inc. | Past | Accepting new patients | |
| Northshore Health Centers, Inc. | Past | Accepting new patients |
Interoperability endpoints
- ashley.arredondo.p1@direct.northshorehealth.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- East Chicago, IN
- NPI 1336992999
-
- Federally Qualified Health Center (FQHC)
- Lake Station, IN
- NPI 1356530505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652486400000",
"number": "1013552041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 US HIGHWAY 41",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751317",
"telephone_number": "219-763-8112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 US HIGHWAY 41",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751317",
"telephone_number": "219-763-8112"
}
],
"practiceLocations": [
{
"address_1": "9711 Valparaiso Dr Ste B",
"address_purpose": "LOCATION",
"city": "Munster",
"state": "IN",
"postal_code": "463212910",
"country_code": "US",
"telephone_number": "219-595-5754",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 MacArthur Blvd",
"address_purpose": "LOCATION",
"city": "Munster",
"state": "IN",
"postal_code": "463212901",
"country_code": "US",
"telephone_number": "708-769-6254",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARREDONDO",
"first_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-13",
"last_updated": "2022-05-14",
"certification_date": "2022-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71009711B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schererville, IN
- Mariah Anbar, PHARMD
- John Louis Ancich, D.D.S.
- Katlynn Lorra Andrews, MSHS, RD, LD
- Angela Lavette Anekwe, FNP-C
- Anthony Guadagno, O.D., P.C.
- Artistic Family Dental Schererville PC
- Ascend Counseling and Therapy LLC
- Assured Home Healthcare, Inc.
- Athletico, LTD (Athletico Physical Therapy)
- Sabrina Atkinson-Dornhoefer, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.