Organization Active NPI

Brighter Side Recovery LLP

Doing business as Brighter Side Recovery

  • Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1043789746
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.