Katie O'Connor, FNP

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

71008580A Issued in IN

Practice address

209 S Calumet Rd Ste 6
Chesterton, IN 46304-2475

Phone

(219) 269-0926

Fax

(219) 215-8037

NPI assigned

Nov 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hoosier Breast Friend LLC

  • Lactation Consultant (Non-RN)
  • Michigan City, IN
  • NPI 1811640386
  NPD (past)

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1174092126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S CALUMET RD STE 6",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042475",
            "telephone_number": "219-269-0926",
            "fax_number": "219-215-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S CALUMET RD STE 6",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042475",
            "telephone_number": "219-269-0926",
            "fax_number": "219-215-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "KATIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "IN",
            "license": "71008580A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northshore Health Centers, Inc.
• Northwest Indiana Pet/CT Center
• Brittney Novak
• Suzanne Nurse, RBT
• Corinne O'Brien, NTM
• Ocd Outstanding Care Delivered LLC
• Ocean Wounds in LLC
• Kristin Oconnor, PTA
• Stacia Oconnor
• Alexander Opat

• Public Health & General Preventive Medicine Physician in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Public Health & General Preventive Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.