Individual provider Active NPI

Karey J Hogue, CNM

  • Advanced Practice Midwife
  • Elkhart, IN
National Provider Identifier
1740212117
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
72000012A Issued in IN
Practice address
1215 Lawn Ave
Suite 100
Elkhart, IN 46514-2450
Phone
(574) 293-2893
Fax
(574) 293-1298
NPI assigned
Jul 7, 2006
Last updated
Oct 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 72000012A IN Primary

Addresses

Primary practice location

1215 Lawn Ave
Suite 100
Elkhart, IN 46514-2450

Mailing address

1215 Lawn Ave
Suite 100
Elkhart, IN 46514-2450
Phone (574) 293-2893

Other identifiers 2

IdentifierTypeStateIssuer
200311010AMedicaidIN
000000519825OtherINANTHEM BCBS #

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
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
72000012AINMDAdvanced Practice Midwife

Interoperability endpoints

  • Direct secure messaging: khogue@mybeacon.cernerdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1740212117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 LAWN AVE",
            "address_2": "SUITE 100",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142450",
            "telephone_number": "574-293-2893",
            "fax_number": "574-293-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LAWN AVE",
            "address_2": "SUITE 100",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142450",
            "telephone_number": "574-293-2893",
            "fax_number": "574-293-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGUE",
        "first_name": "KAREY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "72000012A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200311010A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS #",
            "identifier": "000000519825",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.