Individual provider Active NPI

Loice Mukona

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1427321033
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71003823A Issued in IN
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

Updated by the provider on May 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201052050MedicaidIN

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

LicenseStateTypeSpecialty
28140253AINMDRegistered Nurse
71003823AINMDNurse Practitioner
71003823INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.