Individual provider Active NPI

Angela M. Stewart-Martin

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1144554015
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28145013A Issued in IN
Practice address
8150 Rockville Rd
Indianapolis, IN 46214-3111
Phone
(317) 217-5261
Fax
(317) 217-5262
NPI assigned
Sep 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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 28145013A IN Primary

Addresses

Primary practice location

8150 Rockville Rd
Indianapolis, IN 46214-3111

Mailing address

8 Cadillac Dr
Ste. 250
Brentwood, TN 37027-5087
Phone (615) 425-4225

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
I20091023000405 IN Practitioner - Nurse Practitioner 6800933805 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28145013AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Essential LLC Family CurrentSince May 27, 2015 Accepting new patients
The Little Clinic of Indiana LLC Family Past Accepting new patients

Locations

3030 Lake Ave
Ste 14
Fort Wayne, IN 46805
Phone (260) 423-9609

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253836800000",
    "number": "1144554015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CADILLAC DR",
            "address_2": "STE. 250",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275087",
            "telephone_number": "615-425-4225",
            "fax_number": "615-425-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 ROCKVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143111",
            "telephone_number": "317-217-5261",
            "fax_number": "317-217-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART-MARTIN",
        "first_name": "ANGELA",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28145013A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.