Individual provider Active NPI

April Donald, FNP

  • Family Nurse Practitioner
  • La Porte, IN
National Provider Identifier
1083228399
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28184421A Issued in IN
Practice address
204 Legacy PLZ W
La Porte, IN 46350-5285
Phone
(219) 476-7246
NPI assigned
Sep 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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 28184421A IN Primary

Addresses

Primary practice location

204 Legacy PLZ W
La Porte, IN 46350-5285

Mailing address

2500 Calumet Ave Ste E
Valparaiso, IN 46383-3735
Phone (219) 286-6790

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
I20201118001611 IN Practitioner - Nurse Practitioner 5991116253 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28184421AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewater Systems for Balanced Living, Inc CurrentSince Nov 15, 2021 Accepting new patients
Edgewater Systems for Balanced Living, Inc. Current Accepting new patients
Edgewater Systems for Balanced Living, Inc. CurrentSince Nov 15, 2021 Accepting new patients
Edgewater Systems for Balanced Living, Inc Past Accepting new patients

Locations

3535 Broadway
Gary, IN 46409
Phone (219) 392-7345

1100 W 6th Ave
Gary, IN 46402
Phone (219) 881-2466

Interoperability endpoints

  • Direct secure messaging: april.donald.p1@direct.edgewater.nextgenshare.com

Organizations & group practices 4

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1083228399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CALUMET AVE STE E",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833735",
            "telephone_number": "219-286-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LEGACY PLZ W",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463505285",
            "telephone_number": "219-476-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALD",
        "first_name": "APRIL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28184421A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.