Healthcare Provider Details

I. General information

NPI: 1215019039
Provider Name (Legal Business Name): LOIS BETH HUGHES MSN, RN PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 12/28/2022
Certification Date: 12/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5515 W 38TH ST
INDIANAPOLIS IN
46254-2995
US

IV. Provider business mailing address

10352 RAINBOW LN
INDIANAPOLIS IN
46236-9558
US

V. Phone/Fax

Practice location:
  • Phone: 317-880-3838
  • Fax: 317-880-0081
Mailing address:
  • Phone: 317-446-0110
  • Fax: 317-544-3475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License Number70000137B
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number70000137B
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: