Individual provider Active NPI

Kelly M Folbrecht, LPN

  • Licensed Practical Nurse
  • Marion, IN
National Provider Identifier
1124517743
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
27060949A Issued in IN
Practice address
317 S Norton St
Marion, IN 46952-3296
Phone
(765) 664-0101
Fax
(765) 668-8391
NPI assigned
May 9, 2018
Last updated
May 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 27060949A IN Primary

Addresses

Primary practice location

317 S Norton St
Marion, IN 46952-3296

Mailing address

317 S Norton St
Marion, IN 46952-3296
Phone (765) 664-0101

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
27060949AINMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Care of Indiana, Inc. PastSince Dec 18, 2022 Accepting new patients
Premier Care of Indiana, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1124517743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S NORTON ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523296",
            "telephone_number": "765-664-0101",
            "fax_number": "765-668-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S NORTON ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523296",
            "telephone_number": "765-664-0101",
            "fax_number": "765-668-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLBRECHT",
        "first_name": "KELLY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27060949A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.