Healthcare Provider Details

I. General information

NPI: 1699845628
Provider Name (Legal Business Name): AMY C KINNETT WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY CHRISTINE STRAWBRIDGE RNC, WHNP

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 06/19/2025
Certification Date: 05/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17300 WESTFIELD BLVD SUITE 330
WESTFIELD IN
46074
US

IV. Provider business mailing address

13420 N MERIDIAN ST SUITE 400
CARMEL IN
46032-1581
US

V. Phone/Fax

Practice location:
  • Phone: 317-707-9446
  • Fax: 317-558-7896
Mailing address:
  • Phone: 317-573-7050
  • Fax: 317-573-7098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number71002407A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number28147392A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: