Provider Demographics
NPI:1528022514
Name:NODINE, APRIL (PA)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:NODINE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29943 NETWORK PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-1299
Mailing Address - Country:US
Mailing Address - Phone:317-706-7246
Mailing Address - Fax:317-706-3417
Practice Address - Street 1:8805 N MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2760
Practice Address - Country:US
Practice Address - Phone:317-706-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10001132A363AS0400X, 363AS0400X
KYPA1192363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0296090Medicaid
IN300008972Medicaid
OH0296090Medicaid
4103487OtherCIGNA PROVIDER ID NUMBER
KY293790KYIPOtherAETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
000001080839OtherANTHEM - COMMONWEALTH PAIN ASSOCIATES
CS1734500203OtherCARESOURCE PROVIDER ID NUMBER
KY000000646055OtherANTHEM- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY112002OtherSIHO- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
369922OtherHEALTH ALLIANCE PROVIDER ID NUMBER
KY7100156800Medicaid
KYP00838095OtherRAILROAD MEDICARE- NNIKY
KY1530531OtherWELLCARE OF KY PROVIDER ID NUMBER
KY50032158OtherPASSPORT- NNIKY
9819519OtherAETNA PROVIDER ID NUMBER