MEDICARE: MS. KOURTNEY ADON STERLING NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	71008358A	IN
2	363LF0000X	Family Nurse Practitioner	71008358A	IN
3	207Q00000X	Family Medicine Physician	71008358A	IN

General Provider Information

NPI Number	:	1215412028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KOURTNEY ADON STERLING NP

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 UNIVERSITY BLVD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-5149
Country	:	US
Telephone Number	:	317-944-4897
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2018
Last Update Date	:	06/03/2026

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