Individual provider Active NPI

Julia D Kemen, MSN, RN, CPNP-BC

  • Pediatric Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1265062640
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
71009777A Issued in IN
Practice address
705 Riley Hospital Drive
Roc 4270
Indianapolis, IN 46202-5109
Phone
(317) 948-7208
Fax
(317) 944-5791
NPI assigned
Jan 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 28227844A IN
Pediatric Nurse Practitioner 363LP0200X 71009777A IN Primary

Addresses

Primary practice location

705 Riley Hospital Drive
Roc 4270
Indianapolis, IN 46202-5109

Mailing address

PO Box 1026
Indianapolis, IN 46206-1026
Phone (317) 777-6435

Other names 1

  • Julia Miles Other name

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
I20201016001646 IN Practitioner - Nurse Practitioner 0648690461 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71009777AINMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatric Associates, Inc. CurrentSince Jul 17, 2020 Accepting new patients
Iu Health Medical Group, LLC Past Accepting new patients

Locations

1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000

4935 W Arlington Rd
Bloomington, IN 47404
Phone (812) 353-3800

11725 Illinois St
Ste 450
Carmel, IN 46032
Phone (317) 688-5700

11725 Illinois St
Ste 240
Carmel, IN 46032
Phone (317) 814-4580

11590 N Meridian St
Ste 300
Carmel, IN 46032
Phone (317) 944-8906

11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000

415 E Cook Rd
Ste 300
Fort Wayne, IN 46825
Phone (317) 944-6201

575 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 944-3966

7150 Clearvista Dr
Indianapolis, IN 46256
Phone (317) 355-5041

8111 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 528-5261

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

705 Riley Hospital Dr
#4270
Indianapolis, IN 46202
Phone (317) 274-7208

2325 S Miller St
Shelbyville, IN 46176
Phone (317) 392-3287

211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1265062640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1026",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462061026",
            "telephone_number": "317-777-6435",
            "fax_number": "317-777-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DRIVE",
            "address_2": "ROC 4270",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025109",
            "telephone_number": "317-948-7208",
            "fax_number": "317-944-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMEN",
        "first_name": "JULIA",
        "middle_name": "D",
        "credential": "MSN, RN, CPNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "28227844A",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71009777A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "MILES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.