Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kim A Douglas, FNP

Individual provider Family Nurse Practitioner · NPI 1457804023

Kim A Douglas, FNP is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2016, 10 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

8920 Southpointe Dr Ste B
Indianapolis, IN 46227-7505
Phone: (317) 497-1900
Fax: (317) 497-1919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3203 Middle Dr, Columbus, IN 47203-4427 — (812) 373-2700

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71006521A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 28196793A (IN)

Record details

NPI number1457804023
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 29, 2016
Last updated in NPPESFebruary 6, 2023
Certification dateApril 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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