ELISABETH K DEGENHARDT RN MSN NPI 1508041716

NPI Information

NPI: 1508041716
Provider Name: ELISABETH K DEGENHARDT, RN, MSN
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
5230 E STOP 11 RD STE 300
INDIANAPOLIS, IN
ZIP 46237
Phone: (317) 781-4588
Get Directions

Elisabeth K Degenhardt, RN, MSN is a psychiatric/mental health clinical nurse specialist in Indianapolis, IN. Elisabeth K Degenhardt, RN, MSN NPI is 1508041716. 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:

5230 E STOP 11 RD STE 300
INDIANAPOLIS, IN
ZIP 46237-401
Phone: (317) 781-4588
Fax: (317) 782-4885

The NPI 1508041716 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 1/7/2008 and was last updated on 3/7/2023.

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	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	70000009C	INDIANA	Yes

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	28089558A	OTHER	INDIANA	RN LICENSE
2	200980490	MEDICAID	INDIANA

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: 4/28/2024

NPI Synchronization or Removal

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