Active NPI
Kelly Woker, MSN, RN, AGCNS-BC
- Clinical Nurse Specialist
- Indianapolis, IN
National Provider Identifier
1194392787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 28150724A
- Practice address
- 7250 Clearvista Dr Ste 200
Indianapolis, IN 46256-4643 - Phone
- (317) 621-8504
- NPI assigned
- Jun 10, 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 |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 28150724A | IN | Primary |
Addresses
Primary practice location
7250 Clearvista Dr Ste 200
Indianapolis, IN 46256-4643
Mailing address
7250 Clearvista Dr Ste 200
Indianapolis, IN 46256-4643
Phone (317) 621-8504
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)
- Not enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28150724A | IN | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1194392787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7250 CLEARVISTA DR STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564643",
"telephone_number": "317-621-8504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7250 CLEARVISTA DR STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564643",
"telephone_number": "317-621-8504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOKER",
"first_name": "KELLY",
"credential": "MSN, RN, AGCNS-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "IN",
"license": "28150724A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.