Individual provider Active NPI

Tanya Denise Arnold, RN, MSN, FNP-BC

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1225323124
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71003609A Issued in IN
Practice address
1481 West 10TH St
Mail Route Th112
Indianapolis, IN 46202-2884
Phone
(317) 550-0000
Fax
(317) 988-5564
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71003609A IN Primary

Addresses

Primary practice location

1481 West 10TH St
Mail Route Th112
Indianapolis, IN 46202-2884

Mailing address

1481 West 10TH St
Mail Route Th112
Indianapolis, IN 46202-2884
Phone (317) 550-0000

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
71003609AINMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1225323124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 WEST 10TH ST",
            "address_2": "MAIL ROUTE TH112",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022884",
            "telephone_number": "317-550-0000",
            "fax_number": "317-988-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 WEST 10TH ST",
            "address_2": "MAIL ROUTE TH112",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022884",
            "telephone_number": "317-550-0000",
            "fax_number": "317-988-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "TANYA",
        "middle_name": "DENISE",
        "credential": "RN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003609A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.