Individual provider Active NPI

Ivana Payne

  • Personal Care Attendant
  • Indianapolis, IN
National Provider Identifier
1104791482
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
25-019324-1 Issued in IN
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
25-019324-1INMDPersonal 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.

Verify at the official NPI Registry.