Individual provider Active NPI

Makayla Lydick, WHNP

  • Women's Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1235979378
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
71018041A Issued in IN
Practice address
9240 N Meridian St Ste 270
Indianapolis, IN 46260-1876
Phone
(317) 294-7422
Fax
(317) 291-7433
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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 36216 TN
Women's Health Nurse Practitioner 363LW0102X 71018041A IN Primary

Addresses

Primary practice location

9240 N Meridian St Ste 270
Indianapolis, IN 46260-1876

Mailing address

3400 Lafayette Rd Ste 200
Indianapolis, IN 46222-1147
Phone (317) 291-7422

Other practice location 1

3400 Lafayette Rd Ste 200
Indianapolis, IN 46222-1147
Phone (317) 291-7422

Other practice location 2

921 E 3rd St
Chattanooga, TN 37403-2102
Phone (423) 209-8000

Other practice location 3

3400 Lafayette Road Mobile Unit
Indianapolis, IN 46222-1146
Phone (317) 291-7422

Other practice location 4

5750 W 56th St
Indianapolis, IN 46254-1695
Phone (317) 291-7422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20251220000464 TN Practitioner - Nurse Practitioner 7113412792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

921 E 3Rd St
Chattanooga, TN 37403-2102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36216TNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Hamilton Current Accepting new patients
County of Hamilton CurrentSince Nov 18, 2025 Accepting new patients
County of Hamilton CurrentSince Nov 18, 2025 Accepting new patients
County of Hamilton PastSince Mar 3, 2024 Accepting new patients

Locations

5625 Highway 60
Birchwood, TN 37308
Phone (423) 209-5540

921 E 3rd St
Chattanooga, TN 37403
Phone (423) 209-8000

5520 High St
Ooltewah, TN 37363
Phone (423) 209-5440

9527 W Ridge Trail Rd
Soddy Daisy, TN 37379
Phone (423) 209-5490

Organizations & group practices 4

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": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1235979378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LAFAYETTE RD STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221147",
            "telephone_number": "317-291-7422",
            "fax_number": "317-291-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 N MERIDIAN ST STE 270",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601876",
            "telephone_number": "317-294-7422",
            "fax_number": "317-291-7433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Lafayette Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462221147",
            "country_code": "US",
            "telephone_number": "317-291-7422",
            "fax_number": "317-291-7433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "921 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374032102",
            "country_code": "US",
            "telephone_number": "423-209-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Lafayette Road Mobile Unit",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462221146",
            "country_code": "US",
            "telephone_number": "317-291-7422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5750 W 56th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462541695",
            "country_code": "US",
            "telephone_number": "317-291-7422",
            "fax_number": "317-291-7433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYDICK",
        "first_name": "MAKAYLA",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "36216",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71018041A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.