NPIMap

Organization Active NPI

MH Nursing of Indiana, PC

  • Nurse Practitioner
  • Crawfordsville, IN
National Provider Identifier
1093370454
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MH NURSING OF INDIANA, PC
Practice address
600 SR32 West
Crawfordsville, IN 47933
Phone
(765) 303-4701
NPI assigned
May 1, 2019
Organization subpart
Yes
Parent organization
MH NURSING OF INDIANA, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Jessica Nass, APN
Title
President
Phone
(802) 857-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

600 SR32 West
Crawfordsville, IN 47933

Mailing address

PO Box 5
Winooski, VT 05404-0005

Other names 1

  • LSC Crawfordsville Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
MH Nursing of Indiana PC3 organizations share this tax ID, including this one
Part of
MH Nursing of Indiana PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1093370454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054040005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SR32 WEST",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "47933",
            "telephone_number": "765-303-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH NURSING OF INDIANA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MH NURSING OF INDIANA, PC",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "NASS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-857-0400",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LSC Crawfordsville Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Crawfordsville, IN

Sources for this page

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