Active NPI
Megan Elizabeth Vannatta
- Internal Medicine Physician
- Fishers, IN
National Provider Identifier
1386934636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01076435A
- Practice address
- 9795 E 116TH St
Fishers, IN 46037-2822 - Phone
- (317) 913-8100
- NPI assigned
- Apr 7, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | BF4649604-A785 | IL | |
| Pediatrics Physician | 208000000X | BF4649604-A785 | IL | |
| Internal Medicine Physician | 207R00000X | 01076435A | IN | Primary |
| Pediatrics Physician | 208000000X | 01076435A | IN |
Addresses
Primary practice location
9795 E 116TH St
Fishers, IN 46037-2822
Mailing address
8840 Commerce Park PL Ste E
Indianapolis, IN 46268-3129
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BF4649604-A785 | IL | MD | Internal Medicine Physician |
| 01076435A | IN | MD | Pediatrics Physician |
Interoperability endpoints
- megan.vannatta.3@7598.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1386934636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8840 COMMERCE PARK PL STE E",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9795 E 116TH ST",
"city": "FISHERS",
"state": "IN",
"postal_code": "460372822",
"telephone_number": "317-913-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANNATTA",
"first_name": "MEGAN",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-07",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "BF4649604-A785",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "BF4649604-A785",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01076435A",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01076435A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.