Organization Active NPI

Kountry Healthcare LLC

  • Primary Care Clinic/Center
  • Greencastle, IN
National Provider Identifier
1053002303
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KOUNTRY HEALTHCARE LLC
Practice address
833 Indianapolis Rd Ste B
Greencastle, IN 46135-1591
Phone
(765) 630-3196
Fax
(765) 630-6078
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Jennifer Sheffler, FNP-CNPI 1184105355
Title
Owner
Phone
(765) 630-3196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

833 Indianapolis Rd Ste B
Greencastle, IN 46135-1591

Mailing address

833 Indianapolis Rd Ste B
Greencastle, IN 46135-1591
Phone (765) 630-3196

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2268774Kountry Healthcare833 Indianapolis Rd, Suite B, Greencastle, IN 46135Certificate of waiverSep 15, 2026

National Provider Directory

National Provider Directory

Locations

833 Indianapolis Rd
Ste B
Greencastle, IN 46135
Phone (765) 630-3196

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": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1053002303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 INDIANAPOLIS RD STE B",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461351591",
            "telephone_number": "765-630-3196",
            "fax_number": "765-630-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 INDIANAPOLIS RD STE B",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461351591",
            "telephone_number": "765-630-3196",
            "fax_number": "765-630-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUNTRY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "SHEFFLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-630-3196",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greencastle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.