Active NPI
Emily Anne Stults, FNP-C
- Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1407008394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71002789A
- Practice address
- 7440 Woodland Dr
Indianapolis, IN 46278-1720 - Phone
- (574) 320-1483
- NPI assigned
- Oct 22, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28154517A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71002789A | IN | |
| Nurse Practitioner | 363L00000X | 71002789A | IN | Primary |
Addresses
Primary practice location
7440 Woodland Dr
Indianapolis, IN 46278-1720
Mailing address
24812 County Road 4
Elkhart, IN 46514-9387
Phone (574) 320-1483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F0908063 | Other | IN | NURSE PRACTITIONER CERTIFICATION NUMBER |
Other names 1
- Miss Emily Anne O'Brien
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002789A | IN | MD | Nurse Practitioner |
| 28154517A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky | Past | Accepting new patients | |
| Planned Parenthood of Indiana Elkhart | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Non-Surgical Family Planning Clinic/Center
- Indianapolis, IN
- NPI 1891743092
-
- Non-Surgical Family Planning Clinic/Center
- Elkhart, IN
- NPI 1831448745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1407008394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24812 COUNTY ROAD 4",
"city": "ELKHART",
"state": "IN",
"postal_code": "465149387",
"telephone_number": "574-320-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7440 WOODLAND DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781720",
"telephone_number": "574-320-1483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STULTS",
"first_name": "EMILY",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-22",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28154517A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71002789A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71002789A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER CERTIFICATION NUMBER",
"identifier": "F0908063",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "O'BRIEN",
"middle_name": "ANNE",
"prefix": "MISS",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.