Individual provider Active NPI

Brooke Anne Kempf, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1316257645
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71003420A Issued in IN
Practice address
620 8TH Ave
Terre Haute, IN 47804-2744
Phone
(812) 231-8401
Fax
(812) 231-8187
NPI assigned
Oct 20, 2010
Last updated
Oct 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71003420A IN Primary

Addresses

Primary practice location

620 8TH Ave
Terre Haute, IN 47804-2744

Mailing address

2325 McFadden LN
Brazil, IN 47834-9230
Phone (812) 208-2803

Other identifiers 1

IdentifierTypeStateIssuer
71003420AOtherINAPN PRESCRIPTIVE AUTHORITY NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71003420AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Center, Inc. CurrentSince Oct 26, 2010 Accepting new patients
Hamilton Center Inc. CurrentSince Oct 26, 2010 Accepting new patients
Wabash Valley Health Center, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Wabash Valley Health Center, Inc. CurrentSince Sep 1, 2016 Accepting new patients

Locations

1436 Locust St
Terre Haute, IN 47807
Phone (812) 232-7447

620 8th Ave
Terre Haute, IN 47804
Phone (812) 231-8200

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, 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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1316257645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 MCFADDEN LN",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478349230",
            "telephone_number": "812-208-2803",
            "fax_number": "812-231-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 8TH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042744",
            "telephone_number": "812-231-8401",
            "fax_number": "812-231-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPF",
        "first_name": "BROOKE",
        "middle_name": "ANNE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71003420A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN PRESCRIPTIVE AUTHORITY NUMBER",
            "identifier": "71003420A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.