Individual provider Active NPI

Kawanya E Muhammad, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1043592694
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71003688A Issued in IN
Practice address
2840 Fortune Cir W
Indianapolis, IN 46241-5505
Phone
(317) 781-3302
Fax
(317) 740-1018
NPI assigned
Sep 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71003688A IN Primary

Addresses

Primary practice location

2840 Fortune Cir W
Indianapolis, IN 46241-5505

Mailing address

12400 N Meridian St Ste 160
Carmel, IN 46032-4600
Phone (317) 781-3302

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111017000388 IN Practitioner - Nurse Practitioner 9133391170 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71003688AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aims, LLC CurrentSince Sep 1, 2018 Accepting new patients
Major Hospital Past Accepting new patients

Locations

417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

Interoperability endpoints

  • Direct secure messaging: kawanya.muhammad@377412657217540.direct.elationemr.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1043592694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 N MERIDIAN ST STE 160",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324600",
            "telephone_number": "317-781-3302",
            "fax_number": "317-740-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 FORTUNE CIR W",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462415505",
            "telephone_number": "317-781-3302",
            "fax_number": "317-740-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHAMMAD",
        "first_name": "KAWANYA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003688A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.