Individual provider Active NPI

Kathy J Hugar, FNP

  • Family Nurse Practitioner
  • Shelburn, IN
National Provider Identifier
1750361143
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71000843A Issued in IN
Practice address
557 West Broadway
Shelburn, IN 47879
Phone
(812) 397-2440
Fax
(812) 478-3416
NPI assigned
Jan 20, 2006
Last updated
May 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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 71000843A IN Primary

Addresses

Primary practice location

557 West Broadway
Shelburn, IN 47879

Mailing address

4525 S Springhill Junction
Terre Haute, IN 47802
Phone (812) 234-6053

Other identifiers 1

IdentifierTypeStateIssuer
200263820MedicaidIN

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
I20050321000700 IN Practitioner - Nurse Practitioner 8820043086 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Terre Haute Pulmonary & Pediatric Clinic, LLC CurrentSince Mar 2, 2004 Accepting new patients
Terre Haute Pulmonary & Pediatric Clinic, LLC Family CurrentSince Mar 2, 2004 Accepting new patients
Major Hospital Past Accepting new patients

Locations

557 W Broadway St
Shelburn, IN 47879
Phone (812) 234-0098

4525 S Springhill Jct
Terre Haute, IN 47802
Phone 8122346053244

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1750361143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 S SPRINGHILL JUNCTION",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47802",
            "telephone_number": "812-234-6053",
            "fax_number": "812-478-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 WEST BROADWAY",
            "city": "SHELBURN",
            "state": "IN",
            "postal_code": "47879",
            "telephone_number": "812-397-2440",
            "fax_number": "812-478-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGAR",
        "first_name": "KATHY",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000843A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200263820",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelburn, IN

Sources for this page

Verify at the official NPI Registry.