NPIMap

Organization Active NPI

University of Indianapolis

Doing business as Koval Nursing Center

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1386923258
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
UNIVERSITY OF INDIANAPOLIS
Doing business as
Koval Nursing Center
Practice address
1400 E Hanna Ave
Indianapolis, IN 46227-3630
Phone
(317) 788-3206
Fax
(317) 788-6208
NPI assigned
Aug 10, 2011
Last updated
Feb 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Mr. Michael Braughton
Title
V Pres. for Bus.& Finance and Treas
Phone
(317) 788-3301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1400 E Hanna Ave
Indianapolis, IN 46227-3630

Mailing address

1400 E Hanna Ave
Indianapolis, IN 46227-3630
Phone (317) 788-3206

Other names 1

  • Koval Nursing Center Doing business as

National Provider Directory

National Provider Directory

Locations

1400 E Hanna Ave
Indianapolis, IN 46227
Phone (317) 788-3309

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1386923258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E HANNA AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462273630",
            "telephone_number": "317-788-3206",
            "fax_number": "317-788-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E HANNA AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462273630",
            "telephone_number": "317-788-3206",
            "fax_number": "317-788-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF INDIANAPOLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "BRAUGHTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "V PRES. FOR BUS.& FINANCE AND TREAS",
        "authorized_official_telephone_number": "317-788-3301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koval Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.