Individual provider Active NPI

Lisa Lynn Smitha, NP

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1205906492
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71000860A Issued in IN
Practice address
6920 Parkdale PL Ste 107
Indianapolis, IN 46254-5604
Phone
(317) 880-2276
Fax
(317) 251-7374
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 28106992A IN
Nurse Practitioner 363L00000X 71000860A IN Primary

Addresses

Primary practice location

6920 Parkdale PL Ste 107
Indianapolis, IN 46254-5604

Mailing address

PO Box 637764
Cincinnati, OH 45263-7764
Phone (317) 880-3939

Other practice location 1

1001 W 10th St
Indianapolis, IN 46202-2859
Phone (317) 630-7843

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lsmitha14747@direct.eskenazihealth.edu

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
I20050920001021 IN Practitioner - Nurse Practitioner 8729012794 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28106992AINMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Health and Hospital Corporation of Marion County Nurse Practitioner CurrentSince Sep 18, 2010 Accepting new patients
Eskenazi Medical Group Inc Nurse Practitioner CurrentSince Apr 11, 2012 Accepting new patients
Eskenazi Medical Group Inc CurrentSince Apr 11, 2012 Accepting new patients

Locations

720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

9443 E 38th St
Indianapolis, IN 46235
Phone (317) 890-2100

1001 W 10th St
Indianapolis, IN 46202
Phone (317) 630-6175

6920 Parkdale Pl
Ste 107
Indianapolis, IN 46254
Phone (317) 328-6730

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1205906492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637764",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637764",
            "telephone_number": "317-880-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 PARKDALE PL STE 107",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545604",
            "telephone_number": "317-880-2276",
            "fax_number": "317-251-7374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462022859",
            "country_code": "US",
            "telephone_number": "317-630-7843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITHA",
        "first_name": "LISA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "28106992A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71000860A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsmitha14747@direct.eskenazihealth.edu",
            "affiliation": "N",
            "address_1": "6920 Parkdale Pl Ste 107",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462545604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.