Active NPI
Mindy Joy Yoder, N.P.
- Nurse Practitioner
- Fort Wayne, IN
National Provider Identifier
1013936442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71000200A
- Practice address
- 2101 E Coliseum Blvd
Walb 234
Fort Wayne, IN 46805-1445 - Phone
- (260) 481-5748
- Fax
- (260) 481-5752
- NPI assigned
- Jul 18, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71000200A | IN | Primary |
Addresses
Primary practice location
2101 E Coliseum Blvd
Walb 234
Fort Wayne, IN 46805-1445
Mailing address
2101 E Coliseum Blvd
Walb 234
Fort Wayne, IN 46805-1445
Phone (260) 481-5748
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000278944 | Other | IN | ANTHEM |
| 200251680 | Medicaid | IN |
Other names 1
- Mindy Joy Thorp
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000200A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Hospital, Inc. | Past | Accepting new patients |
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.
-
- Trauma Surgery Physician
- Fort Wayne, IN
- NPI 1669576997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1013936442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 E COLISEUM BLVD",
"address_2": "WALB 234",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468051445",
"telephone_number": "260-481-5748",
"fax_number": "260-481-5752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 E COLISEUM BLVD",
"address_2": "WALB 234",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468051445",
"telephone_number": "260-481-5748",
"fax_number": "260-481-5752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YODER",
"first_name": "MINDY",
"middle_name": "JOY",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71000200A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000278944",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200251680",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MINDY",
"last_name": "THORP",
"middle_name": "JOY",
"credential": "N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.