Individual provider Active NPI

Sylvia Oudhuis, FNP BC

  • Family Nurse Practitioner
  • La Porte, IN
National Provider Identifier
1265899835
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71006032 Issued in IN
Practice address
400 Legacy PLZ W
La Porte, IN 46350-5296
Phone
(219) 326-1775
NPI assigned
Jan 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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 71006032 IN Primary

Addresses

Primary practice location

400 Legacy PLZ W
La Porte, IN 46350-5296

Mailing address

400 Legacy PLZ W
La Porte, IN 46350-5296
Phone (219) 326-1775

Other practice location 1

809 LaPorte Ave Ste B
Valparaiso, IN 46383-5801
Phone (219) 263-4977

Other practice location 2

650 Dickinson Rd
Chesterton, IN 46304-3387
Phone (219) 926-7755

Other practice location 3

3630 Willowcreek Rd
Portage, IN 46368-5075
Phone (219) 364-3900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Sylvia.Oudhuis@laportehosp.cernerdirect.com

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
I20160218000116 IN Practitioner - Nurse Practitioner 5890090526 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71006032INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Porte Clinic Company LLC CurrentSince Mar 1, 2016 Accepting new patients
Porter Physician Services LLC CurrentSince Jun 1, 2021 Accepting new patients
La Porte Clinic Company LLC CurrentSince Mar 1, 2016 Accepting new patients
Porter Physician Services LLC Past Accepting new patients

Locations

650 Dickinson Rd
Chesterton, IN 46304
Phone 21926346008228

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300

7002 W Johnson Rd
La Porte, IN 46350
Phone (219) 325-0604

400 Legacy Plz W
La Porte, IN 46350
Phone (219) 326-1775

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

809 Laporte Ave
#B
Valparaiso, IN 46383
Phone (219) 263-4977

Interoperability endpoints

  • Direct secure messaging: sylvia.oudhuis@laportehosp.cernerdirect.com

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": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1265899835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LEGACY PLZ W",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463505296",
            "telephone_number": "219-326-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LEGACY PLZ W",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463505296",
            "telephone_number": "219-326-1775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 LaPorte Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463835801",
            "country_code": "US",
            "telephone_number": "219-263-4977",
            "fax_number": "219-263-4979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Dickinson Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterton",
            "state": "IN",
            "postal_code": "463043387",
            "country_code": "US",
            "telephone_number": "219-926-7755",
            "fax_number": "219-929-1885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3630 Willowcreek Rd",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "IN",
            "postal_code": "463685075",
            "country_code": "US",
            "telephone_number": "219-364-3900",
            "fax_number": "219-364-3959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUDHUIS",
        "first_name": "SYLVIA",
        "credential": "FNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sylvia.Oudhuis@laportehosp.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "400 Legacy Plz W",
            "city": "LA Porte",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463505296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.