Active NPI
Heidi L Needler
- Psychiatric/Mental Health Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 71012393A
- Practice address
- 675 Justice Way Room C0049
Indianapolis, IN 46203 - Phone
- (877) 465-6650
- Fax
- (804) 294-2775
- NPI assigned
- Mar 28, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71012393A | IN | Primary |
Addresses
Primary practice location
675 Justice Way Room C0049
Indianapolis, IN 46203
Mailing address
1907 W Sycamore St
Kokomo, IN 46901-5148
Phone (765) 461-6475
Other practice location 1
1907 W Sycamore St
Kokomo, IN 46901-5148
Phone (765) 456-5611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36062 | TN | MD | Pharmacist |
| 71012393A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holon Health Great Lakes, P.C. | Current | Accepting new patients | |
| Holon Health, Inc. | Past | Accepting new patients |
Locations
675 Justice Way
Indianapolis, IN 46203
Phone (317) 327-1700
675 Justice Way
Rm C49
Indianapolis, IN 46203
Phone (219) 798-3361
404 James Robertson Pkwy
Ste 1200
Nashville, TN 37219
3540 Pump Rd
Richmond, VA 23233
Phone (804) 404-6270
Organizations & group practices 2
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.
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- Elizabethtown, KY
- NPI 1942902093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1912657289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 W SYCAMORE ST",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469015148",
"telephone_number": "765-461-6475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 JUSTICE WAY ROOM C0049",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46203",
"telephone_number": "877-465-6650",
"fax_number": "804-294-2775"
}
],
"practiceLocations": [
{
"address_1": "1907 W Sycamore St",
"address_purpose": "LOCATION",
"city": "Kokomo",
"state": "IN",
"postal_code": "469015148",
"country_code": "US",
"telephone_number": "765-456-5611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEEDLER",
"first_name": "HEIDI",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-28",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "71012393A",
"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 Jan 13, 2025; 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.