Individual provider Active NPI

Jo Estes, NP

  • Nurse Practitioner
  • Logansport, IN
National Provider Identifier
1073578308
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71001098A Issued in IN
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

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000815169OtherINANTHEM
P01102593OtherINRAILROAD
200346990MedicaidIN

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

LicenseStateTypeSpecialty
71001098AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.