Individual provider Active NPI

Allie Norris-Fagg, NP-C

  • Family Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1841860764
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011268A Issued in IN
Practice address
5080 E Bill Farr Dr
Terre Haute, IN 47803-9324
Phone
(812) 478-1825
NPI assigned
Jul 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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 71011268A IN Primary

Addresses

Primary practice location

5080 E Bill Farr Dr
Terre Haute, IN 47803-9324

Mailing address

1481 W 10TH St
Indianapolis, IN 46202-2803

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ALLIE.NORRIS-FAGG@hca6.eclinicaldirectplus.com

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
I20240321001180 IN Order and Referring Only - Nurse Practitioner 6103224373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wabash Valley Urological Assoc Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: allie.norris-fagg@hca6.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1841860764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 W 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 E BILL FARR DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478039324",
            "telephone_number": "812-478-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS-FAGG",
        "first_name": "ALLIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011268A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ALLIE.NORRIS-FAGG@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3702 S 4th St",
            "city": "Terre Haute",
            "state": "IN",
            "country_code": "US",
            "postal_code": "478025507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.