Active NPI
Katherine Veronica Callahan, RN, MSN, CNS, FNP-BC
- Family Nurse Practitioner
- Lapel, IN
National Provider Identifier
1780766972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71002634A
- Practice address
- 299 E Pendleton Ave # 547
Lapel, IN 46051-5546 - Phone
- (765) 534-3636
- Fax
- (765) 534-3638
- NPI assigned
- Oct 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 71002634A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71002634A | IN | Primary |
Addresses
Primary practice location
299 E Pendleton Ave # 547
Lapel, IN 46051-5546
Mailing address
299 E Pendleton Ave # 547
Lapel, IN 46051-5546
Phone (765) 534-3636
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100171430 | Medicaid | IN | |
| 15D2075563 | Other | IN | CLIA |
| IN1868002 | Other | IN | MEDICARE |
| 1780766972 | Other | IN | NPI |
| 000000888757 | Other | IN | ANTHEM |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080527000144 | IN | Practitioner - Nurse Practitioner | 1658440060 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wright Family Practice
Practice addresses (Care Compare)
299 E Pendleton Ave PO Box
Suite 547
Lapel, IN 46051-5546
Phone (765) 534-3636
Hospital & facility affiliations
- Community Hospital of Anderson and Madison County
- Ascension St Vincent Anderson
- Indiana University Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Little Clinic of Indiana LLC | Family | Past | Accepting new patients |
| Indiana Urgent Care Centers, LLC | Past | Accepting new patients |
Interoperability endpoints
- katherine.callahan.1@8718.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Clinic/Center
- Indianapolis, IN
- NPI 1134292832
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1972500452
Hospital
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1679578850
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1780766972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 E PENDLETON AVE # 547",
"city": "LAPEL",
"state": "IN",
"postal_code": "460515546",
"telephone_number": "765-534-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 E PENDLETON AVE # 547",
"city": "LAPEL",
"state": "IN",
"postal_code": "460515546",
"telephone_number": "765-534-3636",
"fax_number": "765-534-3638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "KATHERINE",
"middle_name": "VERONICA",
"name_prefix": "Ms.",
"credential": "RN, MSN, CNS, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IN",
"license": "71002634A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71002634A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100171430",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "15D2075563",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IN1868002",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1780766972",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000888757",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lapel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.