Individual provider Active NPI

Katherine Delois Stride, APRN

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1255813150
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012662 Issued in KY
Practice address
7330 E 82ND St Ste C
Indianapolis, IN 46256-1466
Phone
(781) 757-0811
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3012662 KY
Family Nurse Practitioner 363LF0000X 3012662 KY Primary

Addresses

Primary practice location

7330 E 82ND St Ste C
Indianapolis, IN 46256-1466

Mailing address

3329 Fernheather Dr
Louisville, KY 40216-4731
Phone (502) 240-2089

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
I20191230001766 KY Practitioner - Nurse Practitioner 0244664175 Reassigns benefits to 1 organization
I20200615002143 IN Practitioner - Nurse Practitioner 0244664175 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3012662KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Consonant Healing Associates of de LLC CurrentSince Aug 2, 2021 Accepting new patients

Locations

101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808

150 Beechmont Dr NE
Corydon, IN 47112
Phone (812) 738-0550

2640 Cold Spring Rd
#A
Indianapolis, IN 46222
Phone (315) 909-1540

2100 Cherokee Ridge Way
Louisville, KY 40205
Phone (502) 451-0990

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1255813150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 FERNHEATHER DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164731",
            "telephone_number": "502-240-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 E 82ND ST STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561466",
            "telephone_number": "781-757-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIDE",
        "first_name": "KATHERINE",
        "middle_name": "DELOIS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2022-09-20",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3012662",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.