Active NPI
Mary Felix Charles Ikewete, DNP
- Family Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1336893189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2021085867
- Practice address
- 5132 Sagebrook Blvd
Indianapolis, IN 46239-9804 - Phone
- (313) 303-9863
- NPI assigned
- Feb 10, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2021085867 | IN | Primary |
Addresses
Primary practice location
5132 Sagebrook Blvd
Indianapolis, IN 46239-9804
Mailing address
5132 Sagebrook Blvd
Indianapolis, IN 46239-9804
Phone (313) 303-9863
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021085867 | IN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1336893189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5132 SAGEBROOK BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462399804",
"telephone_number": "313-303-9863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5132 SAGEBROOK BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462399804",
"telephone_number": "313-303-9863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKEWETE",
"first_name": "MARY FELIX",
"middle_name": "CHARLES",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-10",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "2021085867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.