Individual provider Active NPI

Joy Elizabeth Boake, ANP-BC

  • Adult Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1366441255
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71001580B Issued in IN
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

Updated by the provider on Jan 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former 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
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

LicenseStateTypeSpecialty
71001580BINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Jul 1, 2012 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jul 1, 2012 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.