Carrie Jo Kamp, FNP
Nurse Practitioner, Family in Merrillville, IN. Individual provider (NPI-1).
NPI number1699220194
StatusActive
Last updated in NPPESFeb 23, 2019
Details
- NPI
- 1699220194
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Carrie Jo Kamp
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2016
- Last updated
- Feb 23, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209014712 | IL | Yes |
| 363LF0000X | Nurse Practitioner, Family | 71007357A | IN |
Practice location
8645 Connecticut StMerrillville, IN 46410-6222
Phone 219-769-3500
Mailing address
9111 Grand BlvdMerrillville, IN 46410-7429
Phone 219-398-8165
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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