Individual provider Active NPI

Kay K Nannet, RNC, NP

  • Nurse Practitioner
  • Crawfordsville, IN
National Provider Identifier
1124168380
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71000833A Issued in IN
Practice address
1601 Lafayette Rd
Ste 100
Crawfordsville, IN 47933-1032
Phone
(765) 362-1212
Fax
(765) 361-0210
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 71000833A IN Primary

Addresses

Primary practice location

1601 Lafayette Rd
Ste 100
Crawfordsville, IN 47933-1032

Mailing address

1601 Lafayette Rd
Ste 100
Crawfordsville, IN 47933-1032
Phone (765) 362-1212

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71000833AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Plastic Surgery Associates, S.C. PastSince Apr 3, 2017 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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124168380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 LAFAYETTE RD",
            "address_2": "STE 100",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331032",
            "telephone_number": "765-362-1212",
            "fax_number": "765-361-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 LAFAYETTE RD",
            "address_2": "STE 100",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331032",
            "telephone_number": "765-362-1212",
            "fax_number": "765-361-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANNET",
        "first_name": "KAY",
        "middle_name": "K",
        "credential": "RNC, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71000833A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.