Individual provider Active NPI

Salonda Hawkins, NP

  • Family Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1154140333
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10231059 Issued in IN
Practice address
2626 Fairfield Ave
Fort Wayne, IN 46807-1215
Phone
(260) 638-7267
Fax
(260) 264-6769
NPI assigned
Oct 7, 2024
Last updated
Feb 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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 F10231059 IN Primary

Addresses

Primary practice location

2626 Fairfield Ave
Fort Wayne, IN 46807-1215

Mailing address

2626 Fairfield Ave
Fort Wayne, IN 46807-1215

Other practice location 1

10123 Alliance Rd
Blue Ash, OH 45242-4887
Phone (513) 489-7100

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
I20241108001839 IN Practitioner - Nurse Practitioner 0749714038 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10231059INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Ecs, Inc CurrentSince Dec 1, 2025 Accepting new patients
Extended Care Specialists, Inc Family CurrentSince Dec 1, 2025 Accepting new patients
Eventus Wholehealth Midwest Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

2100 Midway St
Columbus, IN 47201
Phone 3178181240225

150 W Market St
Ste 400
Indianapolis, IN 46204

8398 Mississippi St
Fl 2
Merrillville, IN 46410

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, 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": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1154140333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 FAIRFIELD AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468071215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 FAIRFIELD AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468071215",
            "telephone_number": "260-638-7267",
            "fax_number": "260-264-6769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10123 Alliance Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452424887",
            "country_code": "US",
            "telephone_number": "513-489-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "SALONDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F10231059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.