Active NPI
Destani Chanel McGruder
- Ambulatory Care Registered Nurse
- Carmel, IN
National Provider Identifier
1457279051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- 1101095
- Practice address
- 11700 N Meridian St Ste C240
Carmel, IN 46032-4656 - Phone
- (317) 948-3111
- NPI assigned
- Jul 9, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 1101095 | WI | Primary |
Addresses
Primary practice location
11700 N Meridian St Ste C240
Carmel, IN 46032-4656
Mailing address
11700 N Meridian St Ste C240
Carmel, IN 46032-4656
Phone (317) 948-3111
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1457279051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11700 N MERIDIAN ST STE C240",
"city": "CARMEL",
"state": "IN",
"postal_code": "460324656",
"telephone_number": "317-948-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11700 N MERIDIAN ST STE C240",
"city": "CARMEL",
"state": "IN",
"postal_code": "460324656",
"telephone_number": "317-948-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRUDER",
"first_name": "DESTANI",
"middle_name": "CHANEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-09",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "WI",
"license": "1101095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.