DESIRAE MASHELLE HYDE NP NPI 1568834190

NPI Information

  • NPI: 1568834190
  • Provider Name: DESIRAE MASHELLE HYDE, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1300 W JEFFERSON ST
    SUITE C
    FRANKLIN, IN
    ZIP 46131
  • Phone: (317) 736-8474

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NPI Details

Desirae Mashelle Hyde, NP is a family nurse practitioner in Franklin, IN. Desirae Mashelle Hyde, NP NPI is 1568834190. 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:

1300 W JEFFERSON ST
SUITE C
FRANKLIN, IN
ZIP 46131-120
Phone: (317) 736-8474
Fax: (317) 736-6040

The NPI 1568834190 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 10/22/2015 and was last updated on 8/9/2024.

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
1363LF0000XNurse PractitionerFamily71005803AINDIANAYes

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
1Q00551724OTHERINDIANARAILROAD PTAN
2201329340MEDICAIDINDIANA
3000001297549OTHERINDIANAATHEM PTAN
4068010535OTHERINDIANAMEDICARE PTAN

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: 3/30/2025

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