Individual provider Active NPI

Harriett Deene Mefford, APRN

  • Family Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1194855478
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71004795A Issued in IN
Practice address
8211 W State Route 66
Suite a
Newburgh, IN 47630-2534
Phone
(812) 490-0463
Fax
(812) 490-0469
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000007841 TN
Family Nurse Practitioner 363LF0000X 3004142P KY
Family Nurse Practitioner 363LF0000X 71004795A IN Primary

Addresses

Primary practice location

8211 W State Route 66
Suite a
Newburgh, IN 47630-2534

Mailing address

8211 W State Route 66
Suite a
Newburgh, IN 47630-2534
Phone (812) 490-0463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031217000712 KY Practitioner - Nurse Practitioner 6305743386
I20140417001137 IN Practitioner - Nurse Practitioner 6305743386 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3004142PKYMDFamily Nurse Practitioner
APN0000007841TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newburgh Urgent Care LLC CurrentSince Apr 15, 2014 Accepting new patients
Ohio Valley Medical Center Family Past Accepting new patients
Newburgh Urgent Care LLC PastSince Dec 8, 2024 Accepting new patients

Locations

710 S Green River Rd
Ste 1
Evansville, IN 47715
Phone (812) 901-5780

607 W 6th St
Ste B
Jasper, IN 47546
Phone (812) 803-3775

8211 W State Route 66
#A
Newburgh, IN 47630
Phone (270) 570-7500

3245 Mount Moriah Ave
Ste 10
Owensboro, KY 42303
Phone (270) 663-0955

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9421/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1194855478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 W STATE ROUTE 66",
            "address_2": "SUITE A",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302534",
            "telephone_number": "812-490-0463",
            "fax_number": "812-490-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 W STATE ROUTE 66",
            "address_2": "SUITE A",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302534",
            "telephone_number": "812-490-0463",
            "fax_number": "812-490-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEFFORD",
        "first_name": "HARRIETT",
        "middle_name": "DEENE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000007841",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3004142P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004795A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.