Individual provider Active NPI

John A Houston, ARNP

  • Family Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1386793008
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010470A Issued in IN
Practice address
1802 E 10TH St
Jeffersonville, IN 47130-6016
Phone
(812) 288-2488
Fax
(502) 935-9577
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 3599P KY
Nurse Practitioner 363L00000X 3599P KY
Family Nurse Practitioner 363LF0000X 71010470A IN Primary

Addresses

Primary practice location

1802 E 10TH St
Jeffersonville, IN 47130-6016

Mailing address

2100 Market St Ste 100
Charlestown, IN 47111-9535
Phone (812) 503-5100

Other practice location 1

6823 Highway 311
Sellersburg, IN 47172-1801
Phone (812) 246-9809

Other practice location 2

1804 E 10th St
Jeffersonville, IN 47130-6016
Phone (812) 288-2488

Other practice location 3

2100 Market St Ste 100
Charlestown, IN 47111-9535
Phone (812) 503-5100

Other practice location 4

4152 W State Road 56
Hanover, IN 47243-9070
Phone (812) 762-4510

Other identifiers 2

IdentifierTypeStateIssuer
3599POtherKYNURSE PRACTIONER LICENSE
1097323OtherKYREGISTERED NURSE LICENSE

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
I20200724002403 IN Practitioner - Nurse Practitioner 1557441144 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3599PKYMDOccupational Medicine Physician
71010470AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FC Indiana, LLC Nurse Practitioner CurrentSince May 3, 2023 Accepting new patients
FC Indiana, LLC CurrentSince May 3, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 18, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 18, 2023 Accepting new patients
Kentuckiana Emergency Physicians, PLLC Past Accepting new patients
Kentuckiana Emergency Physicians Past Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Past Accepting new patients
Baptist Medical Associates, Inc. Nurse Practitioner Past Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

1202 E Tipton St
Seymour, IN 47274
Phone (812) 627-4933

211 US Highway 66 E
Tell City, IN 47586
Phone (812) 722-4380

Interoperability endpoints

  • Direct secure messaging: jhouston2@direct.iuhealth.org

Organizations & group practices 8

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1386793008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MARKET ST STE 100",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471119535",
            "telephone_number": "812-503-5100",
            "fax_number": "502-489-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 E 10TH ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471306016",
            "telephone_number": "812-288-2488",
            "fax_number": "502-935-9577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6823 Highway 311",
            "address_purpose": "LOCATION",
            "city": "Sellersburg",
            "state": "IN",
            "postal_code": "471721801",
            "country_code": "US",
            "telephone_number": "812-246-9809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1804 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471306016",
            "country_code": "US",
            "telephone_number": "812-288-2488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Market St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlestown",
            "state": "IN",
            "postal_code": "471119535",
            "country_code": "US",
            "telephone_number": "812-503-5100",
            "fax_number": "502-489-5733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4152 W State Road 56",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "IN",
            "postal_code": "472439070",
            "country_code": "US",
            "telephone_number": "812-762-4510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "KY",
            "license": "3599P",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3599P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010470A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTIONER LICENSE",
            "identifier": "3599P",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "1097323",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.