Individual provider Active NPI

Vicky Lynn Owens, NP

  • Nurse Practitioner
  • Fishers, IN
National Provider Identifier
1104830355
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71001338A Issued in IN
Practice address
11501 Cumberland Rd Ste 500
Fishers, IN 46037-7010
Phone
(317) 863-9300
Fax
(317) 863-9333
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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 71001338A IN Primary

Addresses

Primary practice location

11501 Cumberland Rd Ste 500
Fishers, IN 46037-7010

Mailing address

Dept. 453 PO Box 1000
Memphis, TN 38148-0001
Phone (828) 575-2625

Other identifiers 3

IdentifierTypeStateIssuer
IN1125029OtherINMEDICARE
200439040MedicaidIN
IN1126019OtherINMEDICARE

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
I20190521002924 IN Practitioner - Nurse Practitioner 2860735586 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001338AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abode Care Partners Al VB, LLC Nurse Practitioner CurrentSince Jan 16, 2024 Accepting new patients
Allergy Partners, PLLC Current Accepting new patients
NPI 1508468638 CurrentSince Jul 1, 2023 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Apr 13, 2024 Accepting new patients
Abode Care Partners Al VB, LLC Nurse Practitioner CurrentSince Jan 16, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Apr 13, 2024 Accepting new patients
Allergy Partners, PLLC CurrentSince Jul 1, 2023 Accepting new patients
Thoroughcare, PC Family Past Accepting new patients
Thoroughcare, PC Family Past Accepting new patients

Locations

6781 E US Highway 36
Ste 300
Avon, IN 46123
Phone (317) 272-8095

11595 N Meridian St
Ste 515
Carmel, IN 46032
Phone (317) 983-1716

11501 Cumberland Rd
Ste 500
Fishers, IN 46037
Phone (317) 621-9393

9002 N Meridian St
Ste 107
Indianapolis, IN 46260
Phone (317) 848-4070

1001 N Grant St
Lebanon, IN 46052
Phone (765) 482-6400

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Organizations & group practices 9

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1104830355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT. 453 PO BOX 1000",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "828-575-2625",
            "fax_number": "282-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 CUMBERLAND RD STE 500",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377010",
            "telephone_number": "317-863-9300",
            "fax_number": "317-863-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "VICKY",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001338A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IN1125029",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200439040",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IN1126019",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.