Individual provider Active NPI

Gladys Nickell Tharpe, FNP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1134512320
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005619A Issued in IN
Practice address
8745 S Emerson Ave
Indianapolis, IN 46237-9400
Phone
(317) 807-0409
NPI assigned
Mar 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71005619A IN Primary

Addresses

Primary practice location

8745 S Emerson Ave
Indianapolis, IN 46237-9400

Mailing address

6443 Timber Leaf LN
Indianapolis, IN 46236-7731
Phone (317) 840-1302

Other practice location 1

11020 Pendleton Pike
Indianapolis, IN 46236-2817
Phone (317) 806-1140

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
I20150810001573 IN Practitioner - Nurse Practitioner 2769797455 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71005619AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Feb 1, 2023 Accepting new patients
Little Clinic of in LLC Family CurrentSince Jul 30, 2015 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Feb 1, 2023 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

11020 Pendleton Pike
Indianapolis, IN 46236
Phone (317) 806-1140

8745 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 807-0409

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

Interoperability endpoints

  • Direct secure messaging: gtharpe551324@ecommunitydirect.com

Organizations & group practices 3

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": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1134512320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6443 TIMBER LEAF LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462367731",
            "telephone_number": "317-840-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 S EMERSON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379400",
            "telephone_number": "317-807-0409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11020 Pendleton Pike",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462362817",
            "country_code": "US",
            "telephone_number": "317-806-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THARPE",
        "first_name": "GLADYS",
        "middle_name": "NICKELL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005619A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.