Individual provider Active NPI

Kathleen Eaton

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1730628868
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28174714A Issued in IN
Practice address
2001 W 86TH St
Indianapolis, IN 46260-1902
Phone
(317) 338-1260
NPI assigned
Feb 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28174714A IN Primary

Addresses

Primary practice location

2001 W 86TH St
Indianapolis, IN 46260-1902

Mailing address

1250 N 1100 E
Sheridan, IN 46069-9034

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
I20170811000421 IN Practitioner - Nurse Practitioner 2062783962 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Home Care Services, LLC CurrentSince Nov 13, 2023 Accepting new patients
Heartland Hospice Services, LLC CurrentSince Jun 12, 2020 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Nov 13, 2023 Accepting new patients
Heartland Hospice Services LLC Current Accepting new patients
Heartland Hospice Services LLC CurrentSince Jun 12, 2020 Accepting new patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Aug 9, 2017 Accepting new patients
Anew Palliative Care LLC CurrentSince May 18, 2025 Accepting new patients

Locations

1315 Directors Row
Ste 210
Fort Wayne, IN 46808
Phone (260) 484-6818

9775 Crosspoint Blvd
Ste 118
Indianapolis, IN 46256
Phone (317) 381-0095

3001 S Valley Ave
Marion, IN 46953
Phone (317) 251-3012

8549 Madison Ave
Southport, IN 46227
Phone (317) 881-9164

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

L2540
Columbus, OH 43260

L4056
Columbus, OH 43260

Organizations & group practices 7

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": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1730628868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 N 1100 E",
            "city": "SHERIDAN",
            "state": "IN",
            "postal_code": "460699034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601902",
            "telephone_number": "317-338-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28174714A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.