Active NPI
Ivy Health Associates
- Family Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1396449567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- IVY HEALTH ASSOCIATES
- Practice address
- 8888 Keystone Xing Ste 1300
Indianapolis, IN 46240-4600 - Phone
- (317) 207-2808
- NPI assigned
- Mar 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Renee B McDougal
- Title
- Owner
- Phone
- (317) 207-2808
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
8888 Keystone Xing Ste 1300
Indianapolis, IN 46240-4600
Mailing address
8888 Keystone Xing Ste 1300
Indianapolis, IN 46240-4600
Phone (317) 207-2808
National Provider Directory
National Provider DirectoryLocations
2159 Glebe St
Ste 250
Carmel, IN 46032
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Nurse Practitioner
- Carmel, IN
- NPI 1528699576
-
- Social Worker
- Indianapolis, IN
- NPI 1740631670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680048000000",
"number": "1396449567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8888 KEYSTONE XING STE 1300",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462404600",
"telephone_number": "317-207-2808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8888 KEYSTONE XING STE 1300",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462404600",
"telephone_number": "317-207-2808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IVY HEALTH ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-29",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A",
"authorized_official_last_name": "MCDOUGAL",
"authorized_official_first_name": "RENEE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-207-2808",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.