JANA LANETTE SHOCKLEY NP NPI 1487915468

NPI Information

NPI: 1487915468
Provider Name: JANA LANETTE SHOCKLEY, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1002 WISHARD BLVD
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 274-4779
Get Directions

Jana Lanette Shockley, NP is a pediatrics nurse practitioner in Indianapolis, IN. Jana Lanette Shockley, NP NPI is 1487915468. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1002 WISHARD BLVD
INDIANAPOLIS, IN
ZIP 46202-163
Phone: (317) 274-4779
Fax: (317) 948-9806

The NPI 1487915468 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/6/2012 and was last updated on 12/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	71002365A	INDIANA	Yes
2	363LP0200X	Nurse Practitioner	Pediatrics	28090603A	INDIANA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201074150	MEDICAID	INDIANA
2	000000795010	OTHER	INDIANA	ANTHEM
3	P01292378	OTHER	INDIANA	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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