Active NPI
Nancy Redd, FNP
- Family Nurse Practitioner
- Connersville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71008652A
- Practice address
- 2025 Virginia Ave., Ste. D
Connersville, IN 47331-2833 - Phone
- (765) 827-8064
- Fax
- (765) 825-6999
- NPI assigned
- Nov 16, 2018
- Last updated
- Aug 25, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28087283A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71008652A | IN | Primary |
Addresses
Primary practice location
2025 Virginia Ave., Ste. D
Connersville, IN 47331-2833
Mailing address
2231 N Grand Ave
Connersville, IN 47331-2341
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300021585 | Medicaid | IN | |
| 28087283A | Other | IN | RN LICENSE |
| 71008652A | Other | IN | IN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truhealth, LLC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
445 S County Road 525 E
Avon, IN 46123
Phone (317) 745-1390
155 E Burks Dr
Bloomington, IN 47401
Phone (812) 332-4437
1029 E 5th St
Connersville, IN 47331
Phone (765) 825-0543
1042 Oak Dr
Richmond, IN 47374
Phone (765) 766-7788
400 Industries Rd
Richmond, IN 47374
Phone (765) 935-0135
402 19th St
Tell City, IN 47586
Phone (812) 547-3427
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- Parsons, TN
- NPI 1063843951
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1467921759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2231 N GRAND AVE",
"city": "CONNERSVILLE",
"state": "IN",
"postal_code": "473312341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 VIRGINIA AVE., STE. D",
"city": "CONNERSVILLE",
"state": "IN",
"postal_code": "473312833",
"telephone_number": "765-827-8064",
"fax_number": "765-825-6999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDD",
"first_name": "NANCY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-16",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28087283A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71008652A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300021585",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "28087283A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN LICENSE",
"identifier": "71008652A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Connersville, IN
- Preferred Emergency Specialists, LLC
- Pulaski Memorial Hospital (Majestic Care of Connersville)
- Christopher Scott Pyle
- Connie Kay Ray, LCSW, MHCL, MFTL
- RCG Indiana LLC (Fresenius Medical Care Connersville)
- Morgan Reeve, LCSW
- Reid Physician Associates Inc (Reid Health Laboratory - Connersville)
- Reid Physician Associates, Inc (Reid Orthopedics)
- Joanna Lynn Reisert, NP
- Residential CRF, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.