Individual provider Active NPI

Lara M Naanouh, NP

  • Women's Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1598244725
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
71008347A Issued in IN
Practice address
8091 Township Line Rd Ste 206
Indianapolis, IN 46260-2495
Phone
(317) 415-1000
Fax
(317) 415-1010
NPI assigned
Aug 8, 2018
Last updated
Sep 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 71008347A IN Primary

Addresses

Primary practice location

8091 Township Line Rd Ste 206
Indianapolis, IN 46260-2495

Mailing address

8091 Township Line Rd Ste 206
Indianapolis, IN 46260-2495
Phone (317) 415-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Lara.Naanouh@ogi.gwaydirect.com Direct

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
I20181015003528 IN Practitioner - Nurse Practitioner 8820340110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8091 Township Line Rd
Suite 206
Indianapolis, IN 46260-2495
Phone (317) 415-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Hills OB-GYN Associates LLC Women's Health CurrentSince Jan 1, 2021 Accepting new patients
Seven Hills OB-GYN Associates, LLC Women's Health CurrentSince Jan 1, 2021 Accepting new patients
Seven Hills OB-GYN Associates LLC Women's Health Past Accepting new patients

Locations

11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718

13420 N Meridian St
Ste 400
Carmel, IN 46032
Phone (317) 573-7050

8091 Township Line Rd
Ste 206
Indianapolis, IN 46260
Phone (317) 415-1000

380 S Junction Xing
#B
Westfield, IN 46074
Phone (317) 573-7050

6866 W Stonegate Dr
Ste 102
Zionsville, IN 46077
Phone (317) 415-1000

Interoperability endpoints

  • Direct secure messaging: lara.naanouh@ogi.gwaydirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1598244725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8091 TOWNSHIP LINE RD STE 206",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602495",
            "telephone_number": "317-415-1000",
            "fax_number": "317-415-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8091 TOWNSHIP LINE RD STE 206",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602495",
            "telephone_number": "317-415-1000",
            "fax_number": "317-415-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAANOUH",
        "first_name": "LARA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71008347A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lara.Naanouh@ogi.gwaydirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8091 Township Line Rd Ste 206",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462602495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.