Marlena Vancleave

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

27062892A Issued in IN

Practice address

2626 E 46TH St
Ste J
Indianapolis, IN 46205-2380

Phone

(317) 475-9066

NPI assigned

Sep 15, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Indianapolis Treatment Center, LLC

  • Methadone Clinic
  • Indianapolis, IN
  • NPI 1275686123
  NPD (past)

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1104159672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 S TINDALL ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462035446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 E 46TH ST",
            "address_2": "STE J",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052380",
            "telephone_number": "317-475-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCLEAVE",
        "first_name": "MARLENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27062892A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl A Vance, MA, LMFT
• Gail H Vance, M.D.
• Leticia Lynn Vance, DNP, FNP-BC
• Makayla Vance
• Tami Vance, LCSW
• Wa'Londa Vancleave, B.S.
• Tisha Nicole Vancuren, CCC-SLP
• Julia Dean Vandegriff
• Emily Vandekeere
• Leann Vandeman, OT

• Licensed Practical Nurse in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Licensed Practical Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.