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

Takeyah Rosenthall, FNP

Individual provider Nurse Practitioner · NPI 1275218083

Takeyah Rosenthall, FNP is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2023, 3 years ago. Practices with Emergency Professionals of Indiana PC, a 120-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2023
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

1313 W Washington Center Rd
Fort Wayne, IN 46825-4142
Phone: (260) 443-7481
Fax: (260) 443-7484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2520 E Dupont Rd, Fort Wayne, IN 46825-1675 — (260) 416-3000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71014019A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71014019A (IN)

Record details

NPI number1275218083
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJune 19, 2023
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address2621 E Jefferson St, Warsaw, IN 46580-3880

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Emergency Professionals Of Indiana Pc — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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