Active NPI
Nicki Lorean Speck, FNP
- Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1922827427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71015881A
- Practice address
- 2002 W 86TH St
Indianapolis, IN 46260-1903 - Phone
- (317) 872-8811
- NPI assigned
- Oct 10, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71015881A | IN | |
| Primary Care Nurse Practitioner | 363LP2300X | 71015881A | IN | |
| Nurse Practitioner | 363L00000X | 71015881A | IN | Primary |
Addresses
Primary practice location
2002 W 86TH St
Indianapolis, IN 46260-1903
Mailing address
12433 Clark St Apt 102
Carmel, IN 46032-7677
Phone (317) 413-5373
Other practice location 1
11680 Commercial Dr
Fishers, IN 46038-2936
Phone (317) 436-8712
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71015881A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Nurse Practitioner | Current | Accepting new patients |
Locations
155 E Burks Dr
Bloomington, IN 47401
Phone (812) 322-4437
2002 W 86th St
Indianapolis, IN 46260
Phone (317) 872-8811
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
Organizations & group practices 1
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": "1728518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1922827427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12433 CLARK ST APT 102",
"city": "CARMEL",
"state": "IN",
"postal_code": "460327677",
"telephone_number": "317-413-5373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 W 86TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601903",
"telephone_number": "317-872-8811"
}
],
"practiceLocations": [
{
"address_1": "11680 Commercial Dr",
"address_purpose": "LOCATION",
"city": "Fishers",
"state": "IN",
"postal_code": "460382936",
"country_code": "US",
"telephone_number": "317-436-8712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPECK",
"first_name": "NICKI",
"middle_name": "LOREAN",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-10",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71015881A",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IN",
"license": "71015881A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71015881A",
"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 Apr 29, 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.