Active NPI
Angela Kay Poe, RN
- Occupational Health Registered Nurse
- Indianapolis, IN
National Provider Identifier
1962159426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Registered Nurse
- License
- 28102034A
- Practice address
- 8677 Impact CT
Indianapolis, IN 46219-1424 - Phone
- (317) 895-7173
- NPI assigned
- Mar 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Health Registered Nurse | 163WX0106X | 28102034A | IN | Primary |
Addresses
Primary practice location
8677 Impact CT
Indianapolis, IN 46219-1424
Mailing address
8731 Blue Marlin Dr
Indianapolis, IN 46239-7987
Phone (317) 414-4173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8677 | Other | IN | CONCENTRA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Indianapolis |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28102034A | IN | MD | Occupational Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1962159426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8731 BLUE MARLIN DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462397987",
"telephone_number": "317-414-4173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8677 IMPACT CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462191424",
"telephone_number": "317-895-7173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POE",
"first_name": "ANGELA",
"middle_name": "KAY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-04",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0106X",
"taxonomy_group": "",
"desc": "Registered Nurse, Occupational Health",
"state": "IN",
"license": "28102034A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONCENTRA",
"identifier": "8677",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Indianapolis",
"affiliation": "N",
"address_1": "8677 Impact Ct",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462191424",
"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 Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.