Active NPI
Jennifer Condon, WHNP-BC
- Women's Health Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1205287075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- CON104400820
- Practice address
- 935 E Hanna Ave
Indianapolis, IN 46227-1387 - Phone
- (317) 803-4175
- NPI assigned
- Jun 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | CON104400820 | IN | Primary |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 28164436A | IN |
Addresses
Primary practice location
935 E Hanna Ave
Indianapolis, IN 46227-1387
Mailing address
935 E Hanna Ave
Indianapolis, IN 46227-1387
Phone (317) 788-0396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28164436A | IN | MD | Ambulatory Women's Health Care Registered Nurse |
| CON104400820 | IN | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489622400000",
"number": "1205287075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 E HANNA AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462271387",
"telephone_number": "317-788-0396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 E HANNA AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462271387",
"telephone_number": "317-803-4175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDON",
"first_name": "JENNIFER",
"credential": "WHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2017-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IN",
"license": "CON104400820",
"primary": true
},
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "IN",
"license": "28164436A",
"primary": false
}
],
"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 Mar 16, 2017; 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.