Alta Psychiatry

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ALTA PSYCHIATRY

Practice address

10100 Lantern Rd Ste 125
Fishers, IN 46037-7806

Phone

(317) 588-3597

Fax

(317) 886-9940

NPI assigned

Nov 28, 2022

Last updated

Dec 6, 2022By 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

Gretchen Haist

Title

Practice Manager

Phone

(317) 588-3597

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1083324321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 LANTERN RD STE 125",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377806",
            "telephone_number": "317-588-3597",
            "fax_number": "317-886-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 LANTERN RD STE 125",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377806",
            "telephone_number": "317-588-3597",
            "fax_number": "317-886-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "HAIST",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "317-588-3597"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.