Active NPI
Kathy J Arnold, NP
- Nurse Practitioner
- West Lafayette Bra, IN
National Provider Identifier
1275562829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71001899A
- Practice address
- 124 Sagamore Pkwy W
West Lafayette Bra, IN 47906-1569 - Phone
- (765) 463-6722
- Fax
- (765) 463-0905
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71001899A | IN | Primary |
Addresses
Primary practice location
124 Sagamore Pkwy W
West Lafayette Bra, IN 47906-1569
Mailing address
124 Sagamore Pkwy W
West Lafayette Bra, IN 47906-1569
Phone (765) 463-6722
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71001899B | Other | IN | CSR |
| 71001899A | Other | IN | NURSE PRACTITIONER LIC. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71001899A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albert C. Lee, M.D., P.C. | Past | Accepting new patients |
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.
-
- Neurology Physician
- Lafayette, IN
- NPI 1013047042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1275562829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 SAGAMORE PKWY W",
"city": "WEST LAFAYETTE BRA",
"state": "IN",
"postal_code": "479061569",
"telephone_number": "765-463-6722",
"fax_number": "765-463-0905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 SAGAMORE PKWY W",
"city": "WEST LAFAYETTE BRA",
"state": "IN",
"postal_code": "479061569",
"telephone_number": "765-463-6722",
"fax_number": "765-463-0905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "KATHY",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71001899A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSR",
"identifier": "71001899B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER LIC.",
"identifier": "71001899A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette Bra, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.