Your Corner Pediatrics, LLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

YOUR CORNER PEDIATRICS, LLC

Doing business as

Your Corner Pediatrics

Practice address

819 E 64TH St Ste 103
Indianapolis, IN 46220-1657

Phone

(317) 676-9943

Fax

(317) 943-9892

NPI assigned

Nov 16, 2023

Organization subpart

No

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

Authorized official

Name

Kathryn McGovern, NPNPI 1265662076

Title

Owner

Phone

(317) 676-9943

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Your Corner Pediatrics Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn M McGovern, NP

  • Pediatric Nurse Practitioner
  • Greenwood, IN
  • NPI 1265662076

  Pediatrics

  NPD Authorized official
• Elizabeth Marie Bowen, CPNP

  • Pediatric Nurse Practitioner
  • Fishers, IN
  • NPI 1659923761

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1871368134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 E 64TH ST STE 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201657",
            "telephone_number": "317-676-9943",
            "fax_number": "317-943-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 E 64TH ST STE 103",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462201657",
            "telephone_number": "317-676-9943",
            "fax_number": "317-943-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR CORNER PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "MCGOVERN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-676-9943",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1265662076",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1659923761",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Corner Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zoe Young
• Kelsey Youngcourt
• Jean F Younger
• Britney L Yount, LMHC
• Morgan Yount
• Your Family Gemz Personal Care Agency LLC
• Your Family Our Family
• Your Healing Touch Personal Services Agency, LLC
• Your Healing Touch, LLC
• Your Really Loved Homecare LLC

• Pediatric Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatric Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.