| NPI | 1063019040 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2020-10-03 |
| Last Updated | 2020-12-15 |
| Mailing Address | 6720 Parkdale Pl Indianapolis, IN 46254-4668 United States Phone: (574) 546-0330 📍 View Map |
| Primary Practice Address | 6720 Parkdale Pl Indianapolis, IN 46254-4668 United States Phone: (812) 744-9200 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363LP0808X – Nurse Practitioner, Psych/Mental Health | IN | 28227920A |
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About NPI 1063019040
Dorothy Bodur NP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063019040. The primary specialty listed is Nurse Practitioner, Psych/Mental Health. The provider is located in Indianapolis, IN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2020-10-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063019040?
NPI 1063019040 belongs to Dorothy Bodur NP, a Nurse Practitioner, Psych/Mental Health in Indianapolis, IN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063019040 active?
The current status of NPI 1063019040 in the NPPES registry is Active. The record was last updated on 2020-12-15.
What specialty is NPI 1063019040?
NPI 1063019040 is classified under the taxonomy Nurse Practitioner, Psych/Mental Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063019040?
You can verify NPI 1063019040 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063019040?
The primary practice address on file for NPI 1063019040 is 6720 Parkdale Pl, Indianapolis, IN 46254-4668. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063019040 issued?
NPI 1063019040 was first issued (enumerated) on 2020-10-03. The NPPES record was last updated on 2020-12-15.
Practice Location Map
Dorothy Bodur is located at 6720 Parkdale Pl, Indianapolis, IN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Dorothy Bodur. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063019040. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Psych/Mental Health | 28227920A | IN |