Katie D Aldridge, NP
Individual provider Active NPI Adult Health Nurse Practitioner · West Lafayette, IN
NPI 1750822367 · NPPES record last updated Dec 9, 2021
Key facts
- NPI
- 1750822367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 71007247B (IN)
- Practice address
- 253 Sagamore Pkwy W
West Lafayette, IN 47906-1501 - Phone
- (765) 448-8000
- NPI assigned
- Mar 15, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iu Health Medical Group LLC
Arnett Clinic LLC
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2600 Greenbush St
Lafayette, IN 47904-2477
Phone (765) 448-8000
Hospital & facility affiliations
- Indiana University Health Arnett Hospital
- Indiana University Health White Memorial Hospital
- Indiana University Health Frankfort Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170802001728 | IN | Practitioner - Nurse Practitioner | 4486925922 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28212117A | IN | MD | Registered Nurse |
| 71007247B | IN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnett Clinic, LLC | Current |
Accepting new patients | |
| Arnett Clinic, LLC | Current |
Accepting new patients | |
| Iu Health Medical Group, LLC | Current |
Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients |
Locations
8016 Reliable Pkwy
Chicago, IL 60686
550 S Hoke Ave
Frankfort, IN 46041
Phone (765) 659-1110
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
5177 McCarty Ln
Lafayette, IN 47905
Phone (765) 838-7101
1 Walter Scholer Dr
Lafayette, IN 47909
2600 Greenbush St
Lafayette, IN 47904
2600 Ferry St
Lafayette, IN 47904
407 N Meadow St
Otterbein, IN 47970
Phone (765) 583-4415
253 Sagamore Pkwy W
West Lafayette, IN 47906
Interoperability endpoints
- kaldridge@direct.iuhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28212117A | IN | |
| Adult Health Nurse Practitioner | 363LA2200X | 71007247B | IN | Yes |
Addresses
Primary practice location
253 Sagamore Pkwy W
West Lafayette, IN 47906-1501
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001097333 | Other | IN | ANTHEM PROVIDER NUMBER |
| 300004829 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kaldridge@direct.iuhealth.org | Direct |
Other providers in West Lafayette, IN
- Abidemi Mary Ajuwon
- Oluwafunmilayo Anne Akinmade
- Sam Alakhras
- Alex Ignacio Alba
- Zarah-Ann A Alba
- Elizabeth Marie Alexander
- Rami A Alfar
- Chrissie M Allen
- Joann Gary Allington
- Marie Allsopp Castillo
All providers in West Lafayette, IN · Adult Health Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.