Individual provider Active NPI

Grace Ihsiu Todd, RN, CRNP-ADULT

  • Adult Health Nurse Practitioner
  • Lafayette, IN
National Provider Identifier
1679761761
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
28180419A Issued in IN
Practice address
964 Mezzanine Dr
Planned Parenthood of Indiana and Kentucky
Lafayette, IN 47905-8631
Phone
(765) 446-8078
Fax
(765) 446-8160
NPI assigned
Oct 15, 2007
Last updated
May 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 28180419A IN Primary
Adult Health Nurse Practitioner 363LA2200X 841764 TX

Addresses

Primary practice location

964 Mezzanine Dr
Planned Parenthood of Indiana and Kentucky
Lafayette, IN 47905-8631

Mailing address

964 Mezzanine Dr
Planned Parenthood of Indiana and Kentucky
Lafayette, IN 47905-8631
Phone (765) 446-8078

Other names 1

  • Grace Ihsiu Lin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28180419AINMDAdult Health Nurse Practitioner
841764TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Indiana Lafayette Past Accepting new patients
Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1679761761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 MEZZANINE DR",
            "address_2": "PLANNED PARENTHOOD OF INDIANA AND KENTUCKY",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058631",
            "telephone_number": "765-446-8078",
            "fax_number": "765-446-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 MEZZANINE DR",
            "address_2": "PLANNED PARENTHOOD OF INDIANA AND KENTUCKY",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058631",
            "telephone_number": "765-446-8078",
            "fax_number": "765-446-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "GRACE IHSIU",
        "credential": "RN, CRNP-ADULT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "28180419A",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "841764",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE IHSIU",
            "last_name": "LIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.