Individual provider Active NPI

Theresa Kay Menner, NP

  • Nurse Practitioner
  • Avon, IN
National Provider Identifier
1336231133
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
70000199A Issued in IN
Practice address
8244 E. US 36
Ste. 1100, Hendricks Regional Health Immediate Care
Avon, IN 46123-9627
Phone
(317) 272-7500
Fax
(317) 272-7515
NPI assigned
Sep 29, 2006
Last updated
Aug 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 70000199A IN Primary
Family Nurse Practitioner 363LF0000X 70000199A IN

Addresses

Primary practice location

8244 E. US 36
Ste. 1100, Hendricks Regional Health Immediate Care
Avon, IN 46123-9627

Mailing address

34 W 59TH St
Indianapolis, IN 46208-1513
Phone (317) 257-2636

Other names 1

  • Terry Kay Menner Other name

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
I20070208000650 IN Practitioner - Certified Clinical Nurse Specialist (CNS) 2365444056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1979
Medicare assignment
May accept Medicare assignment
Group practices
Fishers Urgent Care LLCGroup PAC ID 1052500584, 2 clinicians

Practice addresses (Care Compare)

11680 Commercial Dr
Suite 100
Fishers, IN 46038-2975

9757 Westpoint Dr
Suite 100
Indianapolis, IN 46256-3329
Phone (317) 436-8712

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70000199AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fishers Urgent Care LLC CurrentSince Apr 24, 2014 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Indiana Urgent Care Centers, LLC Past Accepting new patients

Locations

11680 Commercial Dr
Ste 100
Fishers, IN 46038
Phone (317) 436-8712

9757 Westpoint Dr
Ste 100
Indianapolis, IN 46256
Phone (317) 577-2779

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1336231133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 W 59TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462081513",
            "telephone_number": "317-257-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8244 E. US 36",
            "address_2": "STE. 1100, HENDRICKS REGIONAL HEALTH IMMEDIATE CARE",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239627",
            "telephone_number": "317-272-7500",
            "fax_number": "317-272-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNER",
        "first_name": "THERESA",
        "middle_name": "KAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "70000199A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "70000199A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "MENNER",
            "middle_name": "KAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.