Individual provider Active NPI

Kiana Brothers, DNP, RN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Lafayette, IN
National Provider Identifier
1194509976
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
71015657A Issued in IN
Practice address
1716 Hartford St
Lafayette, IN 47904-2138
Phone
(765) 742-1567
NPI assigned
Aug 22, 2023
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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
I20241018000450 IN Practitioner - Nurse Practitioner 4486186103 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28248355CINMDEmergency Registered Nurse
71015657AINMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riggs Community Health Center Inc CurrentSince Sep 3, 2024 Accepting new patients
Boone County Community Health Clinic, Inc PastSince Sep 2, 2014 Accepting new patients
Riggs Community Health Center Inc Past Accepting new patients

Locations

2121 S Gopher Dr
Frankfort, IN 46041
Phone (765) 650-7875

1324 Tippecanoe St
Lafayette, IN 47904
Phone (765) 742-1567

2316 South St
Lafayette, IN 47904
Phone (765) 447-6969

1716 Hartford St
Lafayette, IN 47904
Phone (765) 742-1567

416 W Camp St
Lebanon, IN 46052
Phone (765) 483-4469

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 28248355C IN
Pediatric Nurse Practitioner 363LP0200X 71015657A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

1716 Hartford St
Lafayette, IN 47904-2138

Mailing address

1716 Hartford St
Lafayette, IN 47904-2138

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 9, 2025.

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1194509976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 HARTFORD ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 HARTFORD ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042138",
            "telephone_number": "765-742-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTHERS",
        "first_name": "KIANA",
        "name_prefix": "Dr.",
        "credential": "DNP, RN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "IN",
            "license": "28248355C",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71015657A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.