Active NPI
Emily M Provost, NP
- Nurse Practitioner
- Evansville, IN
National Provider Identifier
1336828904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 28240747A
- Practice address
- 120 SE 4TH St
Evansville, IN 47708-1607 - Phone
- (812) 426-9311
- Fax
- (812) 426-9839
- NPI assigned
- Jul 12, 2023
- Last updated
- Jul 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28240747A | IN | Primary |
Addresses
Primary practice location
120 SE 4TH St
Evansville, IN 47708-1607
Mailing address
PO Box 3366
Evansville, IN 47732-3366
Phone (812) 426-9311
Other names 1
- Emily M Schrick
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28240747A | IN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1336828904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3366",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477323366",
"telephone_number": "812-426-9311",
"fax_number": "812-426-9839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SE 4TH ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477081607",
"telephone_number": "812-426-9311",
"fax_number": "812-426-9839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROVOST",
"first_name": "EMILY",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-12",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "28240747A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "SCHRICK",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.