DAWN NICOLE PADDOCK NP NPI 1164815353

NPI Information

  • NPI: 1164815353
  • Provider Name: DAWN NICOLE PADDOCK, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5430 E WASHINGTON ST
    INDIANAPOLIS, IN
    ZIP 46219
  • Phone: (317) 969-7935

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NPI Details

Dawn Nicole Paddock, NP is an adult health nurse practitioner in Indianapolis, IN with 11 years of experience. Dawn Nicole Paddock, NP NPI is 1164815353. 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:

5430 E WASHINGTON ST
INDIANAPOLIS, IN
ZIP 46219-446
Phone: (317) 969-7935
Fax: (877) 550-2158

The NPI 1164815353 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 3/11/2015 and was last updated on 6/26/2025.

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
1363L00000XNurse Practitioner71005624AINDIANANo
2363LA2200XNurse PractitionerAdult Health28189119AINDIANANo
3363LA2200XNurse PractitionerAdult Health71005624AINDIANAYes

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: 11/21/2025

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