Katelyn Moorhouse Reckamp, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

28231042A Issued in IN

Practice address

8040 Clearvista Pkwy
Indianapolis, IN 46256-5630

Phone

(800) 731-0751

NPI assigned

Jun 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Katelyn Rose Moorhouse Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Amsurg Indianapolis Anesthesia LLC

  • Anesthesiology Physician
  • Indianapolis, IN
  • NPI 1487056388
  Medicare reassignment NPD
• Jebs Anesthesia Consultants, LLC

  • Anesthesiology Physician
  • La Porte, IN
  • NPI 1790447761
  Medicare reassignment NPD
• Aas Indiana LLC

  • Anesthesiology Physician
  • Novi, MI
  • NPI 1831827021

  IN, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1760052864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6005 DEPT. 196",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462066005",
            "telephone_number": "866-282-7905",
            "fax_number": "800-731-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 CLEARVISTA PKWY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462565630",
            "telephone_number": "800-731-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECKAMP",
        "first_name": "KATELYN",
        "middle_name": "MOORHOUSE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "RN9500212",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28231042A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "MOORHOUSE",
            "middle_name": "ROSE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Leed Rebman, PA-C
• Natalia Reborido Campoy, MD
• Todd Victor Rech, M.P.T.
• Jailyn Lizeth Recinos, LCSW
• Rashmi Recinto, MD
• Barbara Ann Recker, RPH
• Alexandra Reckers, OTR
• Reckley Eye Center LLC
• Kevin Patrick Reckley, KEVIN RECKLEY O.D.
• Dan J Record

• Certified Registered Nurse Anesthetist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Certified Registered Nurse Anesthetist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.