Organization Active NPI

Joie Devivre

  • Family Medicine Physician
  • Bloomington, IN
National Provider Identifier
1003061409
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01052568A Issued in IN
Legal business name
JOIE DEVIVRE
Practice address
1535 Piazza Drive
Bloomington, IN 47401
Phone
(812) 334-2772
NPI assigned
Nov 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lisa J Jerrells, MD
Title
MD
Phone
(812) 334-2772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01052568A IN Primary

Addresses

Primary practice location

1535 Piazza Drive
Bloomington, IN 47401

Mailing address

1535 Piazza Drive
Bloomington, IN 47401
Phone (812) 334-2772

National Provider Directory

National Provider Directory

Locations

1535 S Piazza Dr
Bloomington, IN 47401
Phone (812) 334-2772

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1003061409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 PIAZZA DRIVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47401",
            "telephone_number": "812-334-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 PIAZZA DRIVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47401",
            "telephone_number": "812-334-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOIE DEVIVRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "JERRELLS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "812-334-2772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01052568A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.