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YOUR CORNER PEDIATRICS, LLC
NPI 1871368134
Nurse Practitioner - Pediatrics in Indianapolis, IN

Active since November 16, 2023
819 E 64TH ST STE 103, INDIANAPOLIS, IN 46220(317) 676-9943(317) 943-9892 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Your Corner Pediatrics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUR CORNER PEDIATRICS, LLC (NPI 1871368134) is a healthcare organization registered as a pediatrics in Indianapolis, Indiana and active in the NPI registry since November 2023. The organization lists Kathryn Mcgovern, Owner, as its authorized official.

NPPES Registry Identity

NPI1871368134
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameYOUR CORNER PEDIATRICS, LLC
Location Address819 E 64TH ST STE 103Indianapolis, IN 46220-1657
Mailing Address819 E 64th St Ste 103Indianapolis, IN 46220-1657 · (317) 676-9943 · Fax (317) 943-9892
Phone(317) 676-9943
Fax(317) 943-9892
Organization SubpartNo
Authorized OfficialKathryn McgovernOwner · (317) 676-9943
Enumeration DateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
✔ NPI 1871368134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
819 E 64TH ST STE 103, Indianapolis, IN 46220
Open in Google Maps ↗

Other Identifiers 2

Other1265662076IN · Npi Number
Other1659923761IN · Npi Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2263714

Your Corner Pediatrics · Indianapolis, IN
Expired · Jul 4, 2026
CLIA Number15D2263714
Laboratory TypePractitioner Other
Certificate Effective DateJuly 5, 2024
Certificate Expiration DateJuly 4, 2026
Laboratory DirectorKathryn Mcgovern
Laboratory Phone(317) 458-9079
Laboratory LocationYour Corner Pediatrics819 E 64th Suite 103, Indianapolis, IN 46220
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLYN ELLE PALERMO
Speech-Language Pathologist
819 E 64TH ST STE 103
INDIANAPOLIS, IN 46220
Marion County (317) 210-3410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Your Corner Pediatrics, LLC's NPI number?

The NPI number for Your Corner Pediatrics, LLC is 1871368134. It was assigned to this organization in the NPPES registry on November 16, 2023.

Where is Your Corner Pediatrics, LLC located?

Your Corner Pediatrics, LLC is located at 819 E 64th St Ste 103, Indianapolis, IN 46220. The listed phone number is (317) 676-9943.

What is Your Corner Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Your Corner Pediatrics, LLC was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.