NPIMap

Organization Active NPI

Hedgehog Psychiatric

  • Clinical Nurse Specialist
  • Indianapolis, IN
National Provider Identifier
1093760951
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
70000131A Issued in IN
Legal business name
HEDGEHOG PSYCHIATRIC
Practice address
8563 Zionsville Rd
Indianapolis, IN 46268-1511
Phone
(317) 337-9967
Fax
(317) 337-9968
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Mrs. Penni Fuqua
Title
President/Owner
Phone
(317) 337-9967

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 34003324A IN
Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364S00000X 70000131A IN Primary
Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364S00000X 71000401A IN

Addresses

Primary practice location

8563 Zionsville Rd
Indianapolis, IN 46268-1511

Mailing address

8563 Zionsville Rd
Indianapolis, IN 46268-1511
Phone (317) 337-9967

National Provider Directory

National Provider Directory

Locations

8563 Zionsville Rd
Indianapolis, IN 46268
Phone (317) 337-9967

Practitioners & affiliated clinicians

Practitioners 10

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1093760951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8563 ZIONSVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681511",
            "telephone_number": "317-337-9967",
            "fax_number": "317-337-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8563 ZIONSVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681511",
            "telephone_number": "317-337-9967",
            "fax_number": "317-337-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEDGEHOG PSYCHIATRIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "FUQUA",
        "authorized_official_first_name": "PENNI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "317-337-9967",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003324A",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": "IN",
            "license": "70000131A",
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": "IN",
            "license": "71000401A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.