Individual provider Active NPI

Kimberly S Houchens

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1861991176
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011640 Issued in KY
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

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191009001770 KY Practitioner - Nurse Practitioner 1658631841 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71007776AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iris Medical Group Family CurrentSince Dec 5, 2025 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Apr 1, 2022 Accepting new patients
Signify Health, LLC CurrentSince Jan 27, 2026 Accepting new patients
Iris Medical Group Kentucky LLC Current Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Apr 1, 2022 Accepting new patients
Caremed Health Solutions of Kentucky, LLC CurrentSince Jul 1, 2024 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.

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

Verify at the official NPI Registry.