Active NPI
Kimberly S Houchens
- Family Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3011640
- Practice address
- 135 N Pennsylvania St Ste 1610
Indianapolis, IN 46204-2448 - Phone
- (800) 370-3651
- Fax
- (877) 515-7147
- NPI assigned
- Feb 2, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71007776A | IN | |
| Family Nurse Practitioner | 363LF0000X | 3011640 | KY | Primary |
Addresses
Primary practice location
135 N Pennsylvania St Ste 1610
Indianapolis, IN 46204-2448
Mailing address
55 Hatchetts Hill Rd
Old Lyme, CT 06371-1534
Phone (800) 370-3651
Other practice location 1
9510 Ormsby Station Rd Ste 100
Louisville, KY 40223-4082
Phone (502) 416-1846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71007776A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iris Medical Group | Family | Current | Accepting new patients |
| Fast Pace Kentucky, PLLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Iris Medical Group Kentucky LLC | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Family | Current | Accepting new patients |
| Caremed Health Solutions of Kentucky, LLC | Current | Accepting new patients | |
| Iris Wound Care, PC | Past | Accepting new patients |
Locations
1820 Oakview Rd
Ashland, KY 41101
Phone (606) 325-5200
1131 Magnolia St
Bowling Green, KY 42103
Phone (615) 873-4490
110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059
1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111
300 Tice Blvd
Ste 175
Woodcliff Lake, NJ 07677
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Ashland, KY
- NPI 1326789462
-
- Family Nurse Practitioner
- Franklin, KY
- NPI 1457716706
-
- Rural Health Clinic/Center
- Spindale, NC
- NPI 1942027891
-
- Primary Care Clinic/Center
- Bowling Green, KY
- NPI 1336908110
-
- Clinic/Center
- Brentwood, TN
- NPI 1568273605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1861991176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 HATCHETTS HILL RD",
"city": "OLD LYME",
"state": "CT",
"postal_code": "063711534",
"telephone_number": "800-370-3651",
"fax_number": "877-515-7147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 N PENNSYLVANIA ST STE 1610",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462042448",
"telephone_number": "800-370-3651",
"fax_number": "877-515-7147"
}
],
"practiceLocations": [
{
"address_1": "9510 Ormsby Station Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402234082",
"country_code": "US",
"telephone_number": "502-416-1846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUCHENS",
"first_name": "KIMBERLY",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-02",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71007776A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3011640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.