Individual provider Active NPI

Juanita Clowers, NP

  • Pediatric Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1609264456
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
71005290A Issued in IN
Practice address
1315 N Arlington Ave
Indianapolis, IN 46219-3204
Phone
(317) 762-0190
Fax
(317) 357-1890
NPI assigned
Jan 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 71005290A IN Primary

Addresses

Primary practice location

1315 N Arlington Ave
Indianapolis, IN 46219-3204

Mailing address

1503 N Mitthoefer Rd
Indianapolis, IN 46229-2425
Phone (317) 934-0750

Other practice location 1

5317 E 16th St
Indianapolis, IN 46218-4897
Phone (317) 355-3700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jclowers1609264456@direct.d4d.ihie.us Health Information Exchange (HIE)

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
I20160126002333 IN Practitioner - Nurse Practitioner 3577866409 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71005290AINMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Jan 30, 2017 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jan 30, 2017 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

13121 Olio Rd
Ste 340
Fishers, IN 46037
Phone (317) 621-1340

13121 Olio Rd
Ste 260
Fishers, IN 46037
Phone (317) 621-1300

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

Interoperability endpoints

  • Direct secure messaging: jclowers185625@direct.ochin.org
  • Direct secure messaging: jclowers7463@ecommunitydirect.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1609264456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 N MITTHOEFER RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292425",
            "telephone_number": "317-934-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 N ARLINGTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462193204",
            "telephone_number": "317-762-0190",
            "fax_number": "317-357-1890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5317 E 16th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462184897",
            "country_code": "US",
            "telephone_number": "317-355-3700",
            "fax_number": "317-355-7793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOWERS",
        "first_name": "JUANITA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71005290A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jclowers1609264456@direct.d4d.ihie.us",
            "affiliation": "N",
            "endpointDescription": "IHIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1315 N Arlington Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462193204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.