Active NPI
Ivana Payne
- Personal Care Attendant
- Indianapolis, IN
National Provider Identifier
1104791482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 25-019324-1
- Practice address
- 5860 Newhall Dr
Indianapolis, IN 46239-8939 - Phone
- (317) 760-5741
- Fax
- (219) 343-5642
- NPI assigned
- Oct 7, 2025
- Last updated
- Oct 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | IN | ||
| Chore Provider | 372500000X | IN | ||
| Adult Companion | 372600000X | IN | ||
| Attendant Care Provider | 3747A0650X | IN | ||
| Personal Care Attendant | 3747P1801X | 25-019324-1 | IN | Primary |
| Homemaker | 376J00000X | IN | ||
| In Home Supportive Care Agency | 253Z00000X | IN |
Addresses
Primary practice location
5860 Newhall Dr
Indianapolis, IN 46239-8939
Mailing address
5625 N German Church Rd Unit 2098
Indianapolis, IN 46235-8513
Phone (317) 760-5741
Other practice location 1
2101 E 38th St
Indianapolis, IN 46218-1163
Phone (317) 760-5741
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25-019324-1 | IN | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1104791482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5625 N GERMAN CHURCH RD UNIT 2098",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462358513",
"telephone_number": "317-760-5741",
"fax_number": "219-343-5642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5860 NEWHALL DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462398939",
"telephone_number": "317-760-5741",
"fax_number": "219-343-5642"
}
],
"practiceLocations": [
{
"address_1": "2101 E 38th St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462181163",
"country_code": "US",
"telephone_number": "317-760-5741",
"fax_number": "219-343-5642",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAYNE",
"first_name": "IVANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-07",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "IN",
"license": "25-019324-1",
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "IN",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.