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MRS. AMY COREY HASKAMP MSN RN PCNS-BC NPI 1790101954


NPI Information

NPI: 1790101954
Provider Name: MRS. AMY COREY HASKAMP, MSN, RN, PCNS-BC
Classification: Clinical Nurse Specialist - 364SP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
705 RILEY HOSPITAL DR
RI 3043
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 962-3400
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MRS. Amy Corey Haskamp, MSN, RN, PCNS-BC is a pediatrics clinical nurse specialist in Indianapolis, IN with 18 years of experience. MRS. Amy Corey Haskamp, MSN, RN, PCNS-BC NPI is 1790101954. 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:

705 RILEY HOSPITAL DR
RI 3043
INDIANAPOLIS, IN
ZIP 46202-109
Phone: (317) 962-3400
Fax: (317) 963-5446

The NPI 1790101954 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 3/12/2014 and was last updated on 5/19/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364SP0200XClinical Nurse SpecialistPediatrics28135729AINDIANANo
2364SP0200XClinical Nurse SpecialistPediatrics71004906INDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1201232660MEDICAIDINDIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.