Active NPI
Brighter Side Recovery LLP
Doing business as Brighter Side Recovery
- Nurse Practitioner
- Evansville, IN
National Provider Identifier
1043789746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- BRIGHTER SIDE RECOVERY LLP
- Doing business as
- Brighter Side Recovery
- Practice address
- 4972 Lincoln Ave Ste 204
Evansville, IN 47715-7909 - Phone
- (812) 962-9020
- Fax
- (812) 962-8020
- NPI assigned
- Nov 26, 2018
- Last updated
- Jan 31, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Kimberlin, NP
- Title
- Partner/Owner
- Phone
- (812) 962-9020
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | NU | ||
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
4972 Lincoln Ave Ste 204
Evansville, IN 47715-7909
Mailing address
4972 Lincoln Ave Ste 204
Evansville, IN 47715-7909
Phone (812) 962-9020
Other names 1
- Brighter Side Recovery
National Provider Directory
National Provider DirectoryLocations
4972 Lincoln Ave
Ste 204
Evansville, IN 47715
Phone (812) 962-9020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548892800000",
"number": "1043789746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4972 LINCOLN AVE STE 204",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477157909",
"telephone_number": "812-962-9020",
"fax_number": "812-962-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4972 LINCOLN AVE STE 204",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477157909",
"telephone_number": "812-962-9020",
"fax_number": "812-962-8020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTER SIDE RECOVERY LLP",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-26",
"last_updated": "2019-01-31",
"status": "A",
"authorized_official_last_name": "KIMBERLIN",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "PARTNER/OWNER",
"authorized_official_telephone_number": "812-962-9020",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brighter Side Recovery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.