Individual provider Active NPI

Nancy Redd, FNP

  • Family Nurse Practitioner
  • Connersville, IN
National Provider Identifier
1467921759
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008652A Issued in IN
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300021585MedicaidIN
28087283AOtherINRN LICENSE
71008652AOtherININ 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190117000250 IN Practitioner - Nurse Practitioner 9133465800 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Truhealth, LLC CurrentSince Nov 25, 2024 Accepting new patients
Theoria Medical CurrentSince Aug 2, 2024 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.

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

Sources for this page

Verify at the official NPI Registry.