Individual provider Active NPI

Mary Harrah, FNP-C

  • Family Nurse Practitioner
  • Osgood, IN
National Provider Identifier
1326494386
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71006348A Issued in IN
Practice address
112 N Buckeye St
Osgood, IN 47037-1134
Phone
(812) 689-3424
Fax
(812) 933-5237
NPI assigned
May 9, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 71006348A IN Primary

Addresses

Primary practice location

112 N Buckeye St
Osgood, IN 47037-1134

Mailing address

PO Box 236
Batesville, IN 47006-0236
Phone (812) 689-3424

Other practice location 1

301 Shopping Vlg
Batesville, IN 47006-1275
Phone (812) 932-0641

Other identifiers 1

IdentifierTypeStateIssuer
201371400MedicaidIN

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
I20160727002694 IN Practitioner - Nurse Practitioner 5597058529 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little Clinic of in LLC Family CurrentSince Jul 19, 2016 Accepting new patients
Loving Hearts Hospice and Palliative Care, LLC Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

Organizations & group practices 3

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": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1326494386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470060236",
            "telephone_number": "812-689-3424",
            "fax_number": "812-933-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N BUCKEYE ST",
            "city": "OSGOOD",
            "state": "IN",
            "postal_code": "470371134",
            "telephone_number": "812-689-3424",
            "fax_number": "812-933-5237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Shopping Vlg",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "IN",
            "postal_code": "470061275",
            "country_code": "US",
            "telephone_number": "812-932-0641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRAH",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006348A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201371400",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osgood, IN

Sources for this page

Verify at the official NPI Registry.