Individual provider Active NPI

Kathryn Paige Brinegar, NP

  • Adult Health Nurse Practitioner
  • Noblesville, IN
National Provider Identifier
1952329252
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
28129606A Issued in IN
Practice address
395 Westfield Rd
Riverview Hospital
Noblesville, IN 46060-1425
Phone
(317) 776-7407
Fax
(317) 776-7361
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 28129606A IN Primary

Addresses

Primary practice location

395 Westfield Rd
Riverview Hospital
Noblesville, IN 46060-1425

Mailing address

3333 Kessler Blvd North Dr
Indianapolis, IN 46222-1888
Phone (317) 328-2269

Other identifiers 2

IdentifierTypeStateIssuer
28129606AOtherININ LICENSE NUMBER
000000260496OtherINBLUE CROSS BLUE SHIELD #

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28129606AINMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1952329252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 KESSLER BLVD NORTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221888",
            "telephone_number": "317-328-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 WESTFIELD RD",
            "address_2": "RIVERVIEW HOSPITAL",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601425",
            "telephone_number": "317-776-7407",
            "fax_number": "317-776-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINEGAR",
        "first_name": "KATHRYN",
        "middle_name": "PAIGE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "28129606A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN LICENSE NUMBER",
            "identifier": "28129606A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "000000260496",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.