Active NPI
Dawn Marie Gunderson, NP
- Women's Health Nurse Practitioner
- Camby, IN
National Provider Identifier
1174747505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 71001314A
- Practice address
- 10701 Alliance Dr Ste a
Camby, IN 46113-8837 - Phone
- (317) 856-7083
- Fax
- (317) 856-7332
- NPI assigned
- Apr 13, 2007
- Last updated
- Mar 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 71001314A | IN | Primary |
Addresses
Primary practice location
10701 Alliance Dr Ste a
Camby, IN 46113-8837
Mailing address
1040 Sierra Dr Ste 400
Greenwood, IN 46143-7241
Phone (317) 528-4800
Other practice location 1
1205 Hadley Rd
Mooresville, IN 46158-1737
Phone (317) 831-9469
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dgunderson43867@Direct.FranciscanAlliance.org | Direct |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71001314A | IN | MD | Women's Health Nurse Practitioner |
Interoperability endpoints
- dgunderson43867@direct.franciscanalliance.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1174747505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 SIERRA DR STE 400",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461437241",
"telephone_number": "317-528-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 ALLIANCE DR STE A",
"city": "CAMBY",
"state": "IN",
"postal_code": "461138837",
"telephone_number": "317-856-7083",
"fax_number": "317-856-7332"
}
],
"practiceLocations": [
{
"address_1": "1205 Hadley Rd",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "IN",
"postal_code": "461581737",
"country_code": "US",
"telephone_number": "317-831-9469",
"fax_number": "317-834-5928",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUNDERSON",
"first_name": "DAWN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IN",
"license": "71001314A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dgunderson43867@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "10701 Alliance Dr Ste A",
"city": "Camby",
"state": "IN",
"country_code": "US",
"postal_code": "461138837",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Camby, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.