Individual provider Active NPI

Katelyn F Hooker, FNP-C

  • Family Nurse Practitioner
  • Fishers, IN
National Provider Identifier
1326505611
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008798A Issued in IN
Practice address
11876 Olio Rd Ste 700
Fishers, IN 46037-9778
Phone
(317) 593-9765
NPI assigned
Feb 22, 2019
Last updated
Feb 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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 71008798A IN Primary

Addresses

Primary practice location

11876 Olio Rd Ste 700
Fishers, IN 46037-9778

Mailing address

11876 Olio Rd Ste 700
Fishers, IN 46037-9778
Phone (317) 593-9765

Other practice location 1

10485 Commerce Dr Ste 100
Carmel, IN 46032-7605
Phone (317) 593-9765

Other identifiers 2

IdentifierTypeStateIssuer
28207022AOtherINREGISTERED NURSE
71008798AOtherINAPN PRESCRIPTIVE AUTHORITY

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
I20190408000254 IN Practitioner - Nurse Practitioner 3577804293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Vein Specialists LLCGroup PAC ID 7012180433, 6 clinicians

Practice addresses (Care Compare)

11876 Olio Rd
Suite 700
Fishers, IN 46037-9778
Phone (317) 348-3020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71008798AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Vein Specialists, LLC CurrentSince Apr 1, 2019 Accepting new patients

Locations

10485 Commerce Dr
#100
Carmel, IN 46032
Phone (317) 348-3020

11590 N Meridian St
Ste 270
Carmel, IN 46032
Phone (317) 348-3020

11876 Olio Rd
Ste 700
Fishers, IN 46037
Phone (317) 348-3020

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, 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": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1326505611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11876 OLIO RD STE 700",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379778",
            "telephone_number": "317-593-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11876 OLIO RD STE 700",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379778",
            "telephone_number": "317-593-9765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10485 Commerce Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460327605",
            "country_code": "US",
            "telephone_number": "317-593-9765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOKER",
        "first_name": "KATELYN",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008798A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "28207022A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN PRESCRIPTIVE AUTHORITY",
            "identifier": "71008798A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.