Active NPI
Loice Mukona
- Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1427321033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71003823A
- Practice address
- 1201 N Post Rd Ste 4
Indianapolis, IN 46219-4225 - Phone
- (317) 405-8833
- Fax
- (317) 672-2398
- NPI assigned
- Feb 13, 2012
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28140253A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71003823 | IN | |
| Nurse Practitioner | 363L00000X | 71003823A | IN | Primary |
Addresses
Primary practice location
1201 N Post Rd Ste 4
Indianapolis, IN 46219-4225
Mailing address
1801 Red Phister Dr
Avon, IN 46123-7172
Phone (317) 272-1383
Other practice location 1
5610 Crawfordsville Rd
Indianapolis, IN 46224-3727
Phone (317) 562-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201052050 | Medicaid | IN |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28140253A | IN | MD | Registered Nurse |
| 71003823A | IN | MD | Nurse Practitioner |
| 71003823 | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Healthcare Associates LLP | Nurse Practitioner | Current | Accepting new patients |
| International Physiotherapy Associates Professional Corporation | Past | Accepting new patients | |
| Health Careers International LLC. | Past | Accepting new patients |
Locations
3834 S Emerson Ave
Ste C
Indianapolis, IN 46203
Phone (317) 782-1577
5150 Shelbyville Rd
Indianapolis, IN 46237
Phone (317) 782-1577
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1427321033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 RED PHISTER DR",
"city": "AVON",
"state": "IN",
"postal_code": "461237172",
"telephone_number": "317-272-1383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N POST RD STE 4",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194225",
"telephone_number": "317-405-8833",
"fax_number": "317-672-2398"
}
],
"practiceLocations": [
{
"address_1": "5610 Crawfordsville Rd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462243727",
"country_code": "US",
"telephone_number": "317-562-0500",
"fax_number": "317-372-2398",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUKONA",
"first_name": "LOICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-13",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28140253A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71003823",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71003823A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201052050",
"state": "IN"
}
],
"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 May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.