Active NPI
Ida Hole, NP
- Nurse Practitioner
- Casper, WY
National Provider Identifier
1518941244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71001466A
- Practice address
- 6600 E 2ND St
Casper, WY 82609-4348 - Phone
- (307) 266-4000
- NPI assigned
- Dec 6, 2005
- Last updated
- Mar 17, 2018
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71001466A | IN | Primary |
Addresses
Primary practice location
6600 E 2ND St
Casper, WY 82609-4348
Mailing address
6600 E 2ND St
Casper, WY 82609-4348
Other practice location 1
1801 N Senate Blvd
Ste. 755
Indianapolis, IN 46202-1228
Phone (317) 923-1787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200408490 | Medicaid | IN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71001466A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients | |
| Indiana University Health Care Associates, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba IU Health Physicians
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1518941244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 E 2ND ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826094348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 E 2ND ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826094348",
"telephone_number": "307-266-4000"
}
],
"practiceLocations": [
{
"address_1": "1801 N Senate Blvd",
"address_2": "Ste. 755",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021228",
"country_code": "US",
"telephone_number": "317-923-1787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLE",
"first_name": "IDA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71001466A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200408490",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.