Individual provider Active NPI

Amanda L Harmon, APRN, WHNP-BC, IBCLC

  • Women's Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1093407041
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
71013997A Issued in IN
Practice address
1550 E County Line Rd Ste 300
Indianapolis, IN 46227-0990
Phone
(317) 497-2300
Fax
(317) 497-2502
NPI assigned
May 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 28164614A IN
Women's Health Nurse Practitioner 363LW0102X 71013997A IN Primary

Addresses

Primary practice location

1550 E County Line Rd Ste 300
Indianapolis, IN 46227-0990

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other identifiers 1

IdentifierTypeStateIssuer
300078919MedicaidIN

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
I20230726002127 IN Practitioner - Nurse Practitioner 7719348523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Memorial Health Physician Network LLCGroup PAC ID 1850629361, 35 clinicians

Practice addresses (Care Compare)

1125 W Jefferson St
Suite S200
Franklin, IN 46131-2140
Phone (317) 738-0630

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71013997AINMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Memorial Health Physician Network, LLC CurrentSince Jul 1, 2023 Accepting new patients
Major Hospital Past Accepting new patients
Orthopaedic Care Center Under Johnson Memorial Hospital PastSince Jun 1, 2023 Accepting new patients

Locations

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

1125 W Jefferson St
Ste 200
Franklin, IN 46131
Phone (317) 346-3100

1125 W Jefferson St
Ste S200
Franklin, IN 46131
Phone (317) 738-0630

1155 W Jefferson St
Ste 101
Franklin, IN 46131
Phone (317) 346-7934

8 N US Highway 31
Ste C
Whiteland, IN 46184
Phone (317) 530-3111

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1093407041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E COUNTY LINE RD STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270990",
            "telephone_number": "317-497-2300",
            "fax_number": "317-497-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "APRN, WHNP-BC, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IN",
            "license": "28164614A",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71013997A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300078919",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.