Active NPI
Beth A. Thielking, CPNP
- Pediatric Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1902068547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 71002369
- Practice address
- 410 W 10TH St
Hs1001
Indianapolis, IN 46202-3010 - Phone
- (317) 274-8812
- Fax
- (317) 274-0133
- NPI assigned
- Jun 25, 2008
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 28078636 | IN | |
| Pediatric Nurse Practitioner | 363LP0200X | 71002369 | IN | Primary |
Addresses
Primary practice location
410 W 10TH St
Hs1001
Indianapolis, IN 46202-3010
Mailing address
PO Box 1026
Indianapolis, IN 46206-1026
Phone (317) 777-6435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201116970 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bthielki@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1902068547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1026",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462061026",
"telephone_number": "317-777-6435",
"fax_number": "317-777-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W 10TH ST",
"address_2": "HS1001",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023010",
"telephone_number": "317-274-8812",
"fax_number": "317-274-0133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIELKING",
"first_name": "BETH",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-25",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IN",
"license": "28078636",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IN",
"license": "71002369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201116970",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bthielki@direct.iuhealth.org",
"affiliation": "N",
"address_1": "410 W 10th St",
"address_2": "HS1001",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462023010",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.