Active NPI
Brittany Morgen Edmondson, FNP
- Family Nurse Practitioner
- Terre Haute, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71008095A
- Practice address
- 3736 S 4TH St
Terre Haute, IN 47802 - Phone
- (812) 231-0103
- NPI assigned
- Jun 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28217794A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71008095A | IN | Primary |
Addresses
Primary practice location
3736 S 4TH St
Terre Haute, IN 47802
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1701 Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 944-9400
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28217794A | IN | MD | Nurse Practitioner |
| 71008095A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Care Associates, Inc | Family | Current | Accepting new patients |
| Indiana University Health Care Associates, Inc. | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Nurse Practitioner | Current | Accepting new patients |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1801 Senate Blvd
Indianapolis, IN 46202
Phone (317) 929-8880
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
Organizations & group practices 4
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
Family
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
Nurse Practitioner
-
- Registered Dietitian
- Indianapolis, IN
- NPI 1679949002
-
- 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": "1527984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1679065932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3736 S 4TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "47802",
"telephone_number": "812-231-0103"
}
],
"practiceLocations": [
{
"address_1": "1701 Senate Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021239",
"country_code": "US",
"telephone_number": "317-944-9400",
"fax_number": "317-963-1955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDMONDSON",
"first_name": "BRITTANY",
"middle_name": "MORGEN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-03",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "28217794A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71008095A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.