Active NPI
Taylor Tunny, FNP-C
- Family Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1033881776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71011766A
- Practice address
- 3815 River Crossing Pkwy
Indianapolis, IN 46240-7746 - Phone
- (615) 454-9850
- NPI assigned
- Sep 30, 2021
- Last updated
- Nov 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71011766A | IN | Primary |
| Registered Nurse | 163W00000X | 28223882A | IN |
Addresses
Primary practice location
3815 River Crossing Pkwy
Indianapolis, IN 46240-7746
Mailing address
3815 River Crossing Pkwy Ste 100
Indianapolis, IN 46240-7766
Phone (844) 735-3314
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
429 E Vermont St
Suite 110
Indianapolis, IN 46202-3685
Phone (317) 559-0950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28223882A | IN | MD | Registered Nurse |
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
IN
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1912898321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1033881776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 RIVER CROSSING PKWY STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462407766",
"telephone_number": "844-735-3314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 RIVER CROSSING PKWY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462407746",
"telephone_number": "615-454-9850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUNNY",
"first_name": "TAYLOR",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-30",
"last_updated": "2021-11-22",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71011766A",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28223882A",
"primary": false
}
],
"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 Nov 22, 2021; 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.