Active NPI
Joy Elizabeth Boake, ANP-BC
- Adult Health Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 71001580B
- Practice address
- 8050 Township Line Rd
Indianapolis, IN 46260-2478 - Phone
- (317) 415-8500
- NPI assigned
- Jul 21, 2005
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 71001580B | IN | Primary |
Addresses
Primary practice location
8050 Township Line Rd
Indianapolis, IN 46260-2478
Mailing address
10330 N Meridian St # 300
Indianapolis, IN 46290-1024
Other names 1
- Joy Elizabeth Dutcher
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050608000970 | IN | Practitioner - Nurse Practitioner | 3173566387 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71001580B | IN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| Indiana Heart Associates PC | Past | Accepting new patients | |
| St Vincent Medical Group Inc | Past | Accepting new patients | |
| Care Group LLC | Past | Accepting new patients | |
| Indiana Heart Associates PC | Past | Accepting new patients |
Locations
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702
8333 Naab Rd
Ste 400
Indianapolis, IN 46260
Phone (317) 338-5066
8333 Naab Rd
Ste 335
Indianapolis, IN 46260
Phone (317) 338-5066
8424 Naab Rd
Ste 1H
Indianapolis, IN 46260
Phone (317) 338-7780
8050 Township Line Rd
Indianapolis, IN 46260
Phone (317) 338-2442
2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364
642 W Hospital Rd
Paoli, IN 47454
Phone (812) 723-2811
Interoperability endpoints
- joy.boake.1@7598.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1811881527
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1649220195
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1124078050
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1992821631
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1558686436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1366441255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10330 N MERIDIAN ST # 300",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462901024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8050 TOWNSHIP LINE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602478",
"telephone_number": "317-415-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOAKE",
"first_name": "JOY",
"middle_name": "ELIZABETH",
"credential": "ANP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "71001580B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOY",
"last_name": "DUTCHER",
"middle_name": "ELIZABETH",
"credential": "ANP-BC",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.