Jane Pauley Community Health Center

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

71005228A Issued in IN

Legal business name

JANE PAULEY COMMUNITY HEALTH CENTER

Practice address

8320 Madison Ave
Indianapolis, IN 46227-6066

Phone

(317) 381-5252

NPI assigned

Mar 2, 2016

Last updated

Mar 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra Maria Smith, N.P.

Title

Nurse Practitioner

Phone

(317) 381-5252

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tyler Trabel, PA-C

  • Physician Assistant
  • Indianapolis, IN
  • NPI 1154891133
  NPD

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1023478179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 MADISON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276066",
            "telephone_number": "317-381-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 MADISON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276066",
            "telephone_number": "317-381-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE PAULEY COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "317-381-5252",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "71005228A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Jamriska, BCABA
• Muhammad Yahya Jan, MD
• Kyle Janak
• Kevin Michael Janda Jr., RD, CD
• Jane B Parker Crna LLC
• Jane Pauley Community Health Center Inc
• Louis F. Janeira, MD
• Zachary Kent Janes, DPM
• Chaeyeong Jang, PHARMD
• Mehul Jani, PHARMD

• Primary Care Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Primary Care Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.