NPIMap

Organization Active NPI

South Bend Ergonomics, LLC

  • Registered Nurse
  • South Bend, IN
National Provider Identifier
1073822516
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
28073845A Issued in IN
Legal business name
SOUTH BEND ERGONOMICS, LLC
Practice address
4121 Kennedy Dr
South Bend, IN 46614-2819
Phone
(574) 298-4949
NPI assigned
Oct 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Ann G. Lesar, R.N.
Title
President
Phone
(574) 298-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 28073845A IN Primary

Addresses

Primary practice location

4121 Kennedy Dr
South Bend, IN 46614-2819

Mailing address

4121 Kennedy Dr
South Bend, IN 46614-2819
Phone (574) 298-4949

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1073822516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 KENNEDY DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142819",
            "telephone_number": "574-298-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 KENNEDY DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142819",
            "telephone_number": "574-298-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BEND ERGONOMICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "LESAR",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-298-4949",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28073845A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.