Active NPI
Jo Estes, NP
- Nurse Practitioner
- Logansport, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71001098A
- Practice address
- 1700 Dividend Dr
Logansport, IN 46947-1572 - Phone
- (574) 722-7407
- Fax
- (844) 397-1308
- NPI assigned
- Apr 19, 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 | 71001098A | IN | Primary |
Addresses
Primary practice location
1700 Dividend Dr
Logansport, IN 46947-1572
Mailing address
8003 Castleway Dr
Indianapolis, IN 46250-1946
Phone (317) 576-1335
Other practice location 1
1201 Michigan Ave
Suite 270
Logansport, IN 46947-1580
Phone (574) 722-4921
Other practice location 2
1201 Michigan Ave
Suite 270
Logansport, IN 46947
Phone (574) 722-4921
Other practice location 3
1201 Michigan Ave
Suite 270
Logansport, IN 46947
Phone (574) 722-4921
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000815169 | Other | IN | ANTHEM |
| P01102593 | Other | IN | RAILROAD |
| 200346990 | Medicaid | IN |
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 |
|---|---|---|---|
| 71001098A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nufinity, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Lafayette, IN
- NPI 1477506319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1073578308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8003 CASTLEWAY DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462501946",
"telephone_number": "317-576-1335",
"fax_number": "317-576-1335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 DIVIDEND DR",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471572",
"telephone_number": "574-722-7407",
"fax_number": "844-397-1308"
}
],
"practiceLocations": [
{
"address_1": "1201 Michigan Ave",
"address_2": "Suite 270",
"address_purpose": "LOCATION",
"city": "Logansport",
"state": "IN",
"postal_code": "469471580",
"country_code": "US",
"telephone_number": "574-722-4921",
"fax_number": "574-722-0520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 Michigan Ave",
"address_2": "Suite 270",
"address_purpose": "LOCATION",
"city": "Logansport",
"state": "IN",
"postal_code": "46947",
"country_code": "US",
"telephone_number": "574-722-4921",
"fax_number": "574-722-0520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 Michigan Ave",
"address_2": "Suite 270",
"address_purpose": "LOCATION",
"city": "Logansport",
"state": "IN",
"postal_code": "46947",
"country_code": "US",
"telephone_number": "574-722-4921",
"fax_number": "574-722-0520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESTES",
"first_name": "JO",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71001098A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000815169",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P01102593",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200346990",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Logansport, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.