Individual provider Active NPI

Andrea Strother

  • Registered Nurse
  • Fort Wayne, IN
National Provider Identifier
1114606175
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
28183869A Issued in IN
Practice address
4930 Illinois Rd Ste 5
Fort Wayne, IN 46804-5105
Phone
(260) 467-0470
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 041.552389 IL
Community Health Registered Nurse 163WC1500X 28183869A IN
Registered Nurse 163W00000X 041.552389 IL
Home Health Registered Nurse 163WH0200X 28183869A IN
Registered Nurse 163W00000X 28183869A IN Primary

Addresses

Primary practice location

4930 Illinois Rd Ste 5
Fort Wayne, IN 46804-5105

Mailing address

4930 Illinois Rd Ste 5
Fort Wayne, IN 46804-5105
Phone (260) 467-0470

Other identifiers 1

IdentifierTypeStateIssuer
041.552389OtherILILLINOIS DEPARTMENT FOR PROFESSIONAL REGULATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andreastrother@healingathomeservices.com Direct

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
041.552389ILMDRegistered Nurse
28183869AINMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healing at Home LLC Current Accepting new patients

Organizations & group practices 1

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1114606175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 ILLINOIS RD STE 5",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045105",
            "telephone_number": "260-467-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 ILLINOIS RD STE 5",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045105",
            "telephone_number": "260-467-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROTHER",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "IL",
            "license": "041.552389",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "IN",
            "license": "28183869A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.552389",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IN",
            "license": "28183869A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28183869A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT FOR PROFESSIONAL REGULATION",
            "identifier": "041.552389",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andreastrother@healingathomeservices.com",
            "affiliation": "N",
            "endpointDescription": "Direct  Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4930 Illinois Rd Ste 5",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468045105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.