Active NPI
Lauren Amanda Callahan
- Family Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71011491A
- Practice address
- 10122 E 10TH St Ste 100
Indianapolis, IN 46229-2697 - Phone
- (317) 355-5717
- NPI assigned
- Apr 22, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 71011491A | IN | Primary |
Addresses
Primary practice location
10122 E 10TH St Ste 100
Indianapolis, IN 46229-2697
Mailing address
11752 Brocken Way
Indianapolis, IN 46229-3939
Phone (317) 201-0125
Other practice location 1
13085 Tegler Dr
Noblesville, IN 46060-5417
Phone (317) 770-7089
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6189 W John L Modglin Dr
Suite 101
Greenfield, IN 46140-9364
Phone (317) 866-7300
801 N State
Greenfield, IN 46140-1270
801 N State St
Greenfield, IN 46140-1270
801 N State St 3
Central Indiana Amg Specialty Hospital
Greenfield, IN 46140-1270
Phone (317) 477-6789
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71011491A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Hancock Physician Network, LLC | Current | Accepting new patients | |
| Hancock Health Gateway Services Inc | Current | Accepting new patients | |
| Hancock Health Gateway Services, Inc. | Nurse Practitioner | Current | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727
6189 W John L Modglin Dr
Ste 101
Greenfield, IN 46140
Phone (317) 866-7300
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
10122 E 10th St
Ste 100
Indianapolis, IN 46229
Phone (317) 355-5717
4055 Roy Wilson Way
Ste 110
New Palestine, IN 46163
Phone (317) 477-9355
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Greenfield, IN
- NPI 1649749052
Nurse Practitioner
-
- Family Medicine Physician
- Greenfield, IN
- NPI 1609806470
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- Physiological Laboratory
- Greenfield, IN
- NPI 1134696099
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenfield, IN
- NPI 1467485003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1013599869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11752 BROCKEN WAY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462293939",
"telephone_number": "317-201-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10122 E 10TH ST STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462292697",
"telephone_number": "317-355-5717"
}
],
"practiceLocations": [
{
"address_1": "13085 Tegler Dr",
"address_purpose": "LOCATION",
"city": "Noblesville",
"state": "IN",
"postal_code": "460605417",
"country_code": "US",
"telephone_number": "317-770-7089",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALLAHAN",
"first_name": "LAUREN",
"middle_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-22",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71011491A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.