Active NPI
Vicki A Cleveland, APRN BC
- Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1588653695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71001372A
- Practice address
- 5150 Shelbyville Rd
Indianapolis, IN 46237-2601 - Phone
- (317) 782-1577
- Fax
- (888) 392-3210
- NPI assigned
- Oct 20, 2005
- Last updated
- Jun 12, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71001372A | IN | Primary |
| Registered Nurse | 163W00000X | 28129743A | IN |
Addresses
Primary practice location
5150 Shelbyville Rd
Indianapolis, IN 46237-2601
Mailing address
5150 Shelbyville Rd
Indianapolis, IN 46237-2601
Phone (317) 782-1577
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500027595 | Other | IN | RR MEDICARE |
| 200382080A | Medicaid | IN | |
| 000000351107 | Other | IN | ANTHEM |
Other names 1
- Vicki A Lefevers
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 |
|---|---|---|---|
| 28129743A | IN | MD | Registered Nurse |
| 71001372A | IN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402531200000",
"number": "1588653695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 SHELBYVILLE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462372601",
"telephone_number": "317-782-1577",
"fax_number": "888-392-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 SHELBYVILLE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462372601",
"telephone_number": "317-782-1577",
"fax_number": "888-392-3210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEVELAND",
"first_name": "VICKI",
"middle_name": "A",
"credential": "APRN BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-20",
"last_updated": "2014-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71001372A",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28129743A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "500027595",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200382080A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000351107",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VICKI",
"last_name": "LEFEVERS",
"middle_name": "A",
"credential": "APRN BC",
"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 Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.