Individual provider Active NPI

Janet Ann Decker-Radford, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1578815833
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71003744A Issued in IN
Practice address
4317 Strawflower Dr
Indianapolis, IN 46203-6925
Phone
(317) 489-1648
NPI assigned
Oct 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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 71003744A IN Primary

Addresses

Primary practice location

4317 Strawflower Dr
Indianapolis, IN 46203-6925

Mailing address

4317 Strawflower Dr
Indianapolis, IN 46203-6925
Phone (317) 489-1648

Other identifiers 1

IdentifierTypeStateIssuer
71003744AOtherKSNPI ENUMERATOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20241031001047 KY Practitioner - Nurse Practitioner 5890050660 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71003744AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Leider MD PLLC Family CurrentSince Oct 30, 2024 Accepting new patients
Jeffrey Leider MD PLLC Current Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1578815833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 STRAWFLOWER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462036925",
            "telephone_number": "317-489-1648",
            "fax_number": "317-791-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 STRAWFLOWER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462036925",
            "telephone_number": "317-489-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER-RADFORD",
        "first_name": "JANET",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003744A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ENUMERATOR",
            "identifier": "71003744A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.