Active NPI
Emma Marie Faulkenberg
- Family Nurse Practitioner
- Avon, IN
National Provider Identifier
1740186253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- UNKNOWN
- Practice address
- 1115 N Ronald Reagan Pkwy Ste 100
Avon, IN 46123-6913 - Phone
- (317) 217-2700
- NPI assigned
- Oct 20, 2026
- Last updated
- Oct 20, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | UNKNOWN | IN | Primary |
Addresses
Primary practice location
1115 N Ronald Reagan Pkwy Ste 100
Avon, IN 46123-6913
Mailing address
527 S Center St
Plainfield, IN 46168-1403
Phone (317) 771-5054
Other practice location 1
535 Barnhill Dr Ste 340
Indianapolis, IN 46202-5116
Phone (317) 944-7451
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792454400000",
"number": "1740186253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 S CENTER ST",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461681403",
"telephone_number": "317-771-5054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 N RONALD REAGAN PKWY STE 100",
"city": "AVON",
"state": "IN",
"postal_code": "461236913",
"telephone_number": "317-217-2700"
}
],
"practiceLocations": [
{
"address_1": "535 Barnhill Dr Ste 340",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025116",
"country_code": "US",
"telephone_number": "317-944-7451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAULKENBERG",
"first_name": "EMMA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-20",
"last_updated": "2026-10-20",
"certification_date": "2026-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "UNKNOWN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.