Individual provider Active NPI

Margaret Jane Sorg, CPNP

  • Pediatric Nurse Practitioner
  • Crawfordsville, IN
National Provider Identifier
1306195821
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
71004109B Issued in IN
Practice address
1901 Lafayette Rd
Suite 200
Crawfordsville, IN 47933-1098
Phone
(765) 361-3086
NPI assigned
Aug 30, 2012
Last updated
Mar 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 71004109B IN Primary

Addresses

Primary practice location

1901 Lafayette Rd
Suite 200
Crawfordsville, IN 47933-1098

Mailing address

1901 Lafayette Rd
Suite 200
Crawfordsville, IN 47933-1098
Phone (765) 361-3086

Other identifiers 1

IdentifierTypeStateIssuer
201098420MedicaidIN

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)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71004109BINMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crawfordsville Pediatric Center Past Accepting new patients
Joshi Pediatrics Past Accepting new patients

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": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1306195821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 LAFAYETTE RD",
            "address_2": "SUITE 200",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331098",
            "telephone_number": "765-361-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 LAFAYETTE RD",
            "address_2": "SUITE 200",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331098",
            "telephone_number": "765-361-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORG",
        "first_name": "MARGARET",
        "middle_name": "JANE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71004109B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201098420",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.