Active NPI
Rebecca Christine Daly, NP
- Family Medicine Physician
- Indianapolis, IN
National Provider Identifier
1033875943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 71011721A
- Practice address
- 711 S East St Ste 1B
Indianapolis, IN 46225-1317 - Phone
- (317) 406-7600
- NPI assigned
- Nov 15, 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 Medicine Physician | 207Q00000X | 71011721A | IN | Primary |
Addresses
Primary practice location
711 S East St Ste 1B
Indianapolis, IN 46225-1317
Mailing address
3718 Presidents LN
Greenwood, IN 46142-5508
Phone (317) 727-4011
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | indianapolis |
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71011721A | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1033875943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3718 PRESIDENTS LN",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461425508",
"telephone_number": "317-727-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 S EAST ST STE 1B",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462251317",
"telephone_number": "317-406-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALY",
"first_name": "REBECCA",
"middle_name": "CHRISTINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-15",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "71011721A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "indianapolis",
"affiliation": "N",
"address_1": "711 S East St Ste 1B",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462251317",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.