Individual provider Active NPI

Anne M Willet, FNP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1487708715
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71003207A Issued in IN
Practice address
8931 E 30TH St
Indianapolis, IN 46219-1501
Phone
(317) 355-9320
Fax
(317) 621-9319
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71003207A IN Primary

Addresses

Primary practice location

8931 E 30TH St
Indianapolis, IN 46219-1501

Mailing address

8931 E 30TH St
Indianapolis, IN 46219-1501
Phone (317) 355-9320

Other identifiers 2

IdentifierTypeStateIssuer
000000660008OtherINANTHEM
200981100MedicaidIN

Other names 1

  • Anne M Skaife Former name

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

Interoperability endpoints

  • Direct secure messaging: awillet5224@ecommunitydirect.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1487708715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8931 E 30TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462191501",
            "telephone_number": "317-355-9320",
            "fax_number": "317-621-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8931 E 30TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462191501",
            "telephone_number": "317-355-9320",
            "fax_number": "317-621-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLET",
        "first_name": "ANNE",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003207A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000660008",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200981100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "SKAIFE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 27, 2010; 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.