Individual provider Active NPI

Audrey Dove Key, NP

  • Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1508338955
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71008707A Issued in IN
Practice address
3711 Casey Rd
Newburgh, IN 47630-8343
Phone
(812) 490-1122
Fax
(812) 490-1123
NPI assigned
Dec 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71008707A IN Primary
Nurse Practitioner 363L00000X 4007169 KY

Addresses

Primary practice location

3711 Casey Rd
Newburgh, IN 47630-8343

Mailing address

PO Box 3366
Evansville, IN 47732-3366
Phone (812) 450-6815

Other practice location 1

2710 Heartland Crossing Blvd Ste A
Owensboro, KY 42303-7674
Phone (270) 561-0140

Other practice location 2

340 Starlite Dr
Henderson, KY 42420-6102
Phone (270) 215-3150

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
I20190313001580 IN Order and Referring Only - Nurse Practitioner 9032459912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4007169KYMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: akey204985@direct.deaconess.com

NPI Registry JSON

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1508338955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3366",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477323366",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 CASEY RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308343",
            "telephone_number": "812-490-1122",
            "fax_number": "812-490-1123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Heartland Crossing Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423037674",
            "country_code": "US",
            "telephone_number": "270-561-0140",
            "fax_number": "270-478-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Starlite Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424206102",
            "country_code": "US",
            "telephone_number": "270-215-3150",
            "fax_number": "812-858-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEY",
        "first_name": "AUDREY",
        "middle_name": "DOVE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71008707A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4007169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.