Healthcare Provider Details

I. General information

NPI: 1770408502
Provider Name (Legal Business Name): CARA ANN HASSELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13917 PALODURA CT
FISHERS IN
46038-5803
US

IV. Provider business mailing address

13917 PALODURA CT
FISHERS IN
46038-5803
US

V. Phone/Fax

Practice location:
  • Phone: 317-965-9045
  • Fax:
Mailing address:
  • Phone: 317-965-9056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2026081860
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28250471A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: