Individual provider Active NPI

Amber B Bray, APP

  • Pediatric Nurse Practitioner
  • Franklin, IN
National Provider Identifier
1982326567
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
28187705A Issued in IN
Practice address
1159 W Jefferson St Ste 304
Franklin, IN 46131-2795
Phone
(317) 736-5515
NPI assigned
Sep 12, 2022
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 28187705A IN Primary

Addresses

Primary practice location

1159 W Jefferson St Ste 304
Franklin, IN 46131-2795

Mailing address

1159 W Jefferson St Ste 304
Franklin, IN 46131-2795
Phone (317) 736-3300

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.johnsonmemorial.org Other JOHNSON MEMORIAL HOSPITAL
Other URL www.johnsonmemorial.org Direct

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
I20240314002838 IN Practitioner - Nurse Practitioner 4486090230 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28187705AINMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Memorial Health Physician Network, LLC CurrentSince Jan 28, 2024 Accepting new patients
Major Hospital Past Accepting new patients
Orthopaedic Care Center Under Johnson Memorial Hospital Past Accepting new patients

Locations

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

1125 W Jefferson St
Ste 304
Franklin, IN 46131

1155 W Jefferson St
Ste 101
Franklin, IN 46131
Phone (317) 346-7934

1159 W Jefferson St
Ste 304
Franklin, IN 46131
Phone (317) 346-3100

1000 US Highway 31 S
Greenwood, IN 46143
Phone (317) 215-7966

8 N US Highway 31
Ste A
Whiteland, IN 46184
Phone (317) 535-1577

Organizations & group practices 3

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1982326567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 W JEFFERSON ST STE 304",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312795",
            "telephone_number": "317-736-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 W JEFFERSON ST STE 304",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312795",
            "telephone_number": "317-736-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "AMBER",
        "middle_name": "B",
        "credential": "APP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "28187705A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.johnsonmemorial.org",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "JOHNSON MEMORIAL HOSPITAL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Employer",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1125 W Jefferson St",
            "city": "Franklin",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461312140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.johnsonmemorial.org",
            "affiliation": "N",
            "endpointDescription": "JMH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1125 W Jefferson St",
            "city": "Franklin",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461312140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Franklin, IN

Sources for this page

Verify at the official NPI Registry.