Individual provider Active NPI

Holly N Howe, NURSE PRACTITIONER

  • Nurse Practitioner
  • West Lafayette, IN
National Provider Identifier
1922303635
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71003467A Issued in IN
Practice address
124 Sagamore Pkwy West
West Lafayette, IN 47906
Phone
(765) 463-6722
Fax
(765) 463-0905
NPI assigned
Jan 12, 2011
Last updated
Jan 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71003467A IN Primary

Addresses

Primary practice location

124 Sagamore Pkwy West
West Lafayette, IN 47906

Mailing address

124 Sagamore Pkwy West
West Lafayette, IN 47906
Phone (765) 463-6722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110406000616 IN Practitioner - Nurse Practitioner 0345424982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
91.4
Improvement activities
40
Cost
73.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71003467AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Randall Dermatology, PC Nurse Practitioner CurrentSince Mar 4, 2011 Accepting new patients
Albert C. Lee, M.D., P.C. Past Accepting new patients

Locations

1351 S Jackson St
Frankfort, IN 46041
Phone (765) 452-8602

124 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 463-6722

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1922303635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SAGAMORE PKWY WEST",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "47906",
            "telephone_number": "765-463-6722",
            "fax_number": "765-463-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SAGAMORE PKWY WEST",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "47906",
            "telephone_number": "765-463-6722",
            "fax_number": "765-463-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWE",
        "first_name": "HOLLY",
        "middle_name": "N",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71003467A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

Verify at the official NPI Registry.