Individual provider Active NPI

Mary Kathaleen Steinke, NP

  • Adult Health Nurse Practitioner
  • Beech Grove, IN
National Provider Identifier
1699733824
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71000331A Issued in IN
Practice address
1600 Albany St
South Entrance Ground Floor
Beech Grove, IN 46107-1541
Phone
(317) 859-1090
Fax
(317) 859-3322
NPI assigned
May 4, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71000331A IN
Adult Health Nurse Practitioner 363LA2200X 71000331A IN Primary

Addresses

Primary practice location

1600 Albany St
South Entrance Ground Floor
Beech Grove, IN 46107-1541

Mailing address

PO Box 100
Beech Grove, IN 46107-0100
Phone (317) 859-1090

Other identifiers 5

IdentifierTypeStateIssuer
000000007697OtherINM PLAN
11494112OtherINCAQH
28078577OtherINRN LICENSE
71000331BOtherINCSR
000000545416OtherINANTHEM

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

LicenseStateTypeSpecialty
71000331AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Care Group LLC Past Accepting new patients
T.L. Care, Inc. PastSince Jun 1, 1999 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1699733824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "BEECH GROVE",
            "state": "IN",
            "postal_code": "461070100",
            "telephone_number": "317-859-1090",
            "fax_number": "317-859-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ALBANY ST",
            "address_2": "SOUTH ENTRANCE GROUND FLOOR",
            "city": "BEECH GROVE",
            "state": "IN",
            "postal_code": "461071541",
            "telephone_number": "317-859-1090",
            "fax_number": "317-859-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINKE",
        "first_name": "MARY",
        "middle_name": "KATHALEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71000331A",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71000331A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M PLAN",
            "identifier": "000000007697",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11494112",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "28078577",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR",
            "identifier": "71000331B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000545416",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beech Grove, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.