Active NPI
Donald Rambo Connor Maclean-Kennedy
- Counselor
- Indianapolis, IN
National Provider Identifier
1104470178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3073 Salt Lake Rd
Indianapolis, IN 46214-1432 - Phone
- (317) 296-4187
- NPI assigned
- Jul 29, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3073 Salt Lake Rd
Indianapolis, IN 46214-1432
Mailing address
10171 Touchstone Dr
Fishers, IN 46038-8747
Phone (317) 525-4483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1104470178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10171 TOUCHSTONE DR",
"city": "FISHERS",
"state": "IN",
"postal_code": "460388747",
"telephone_number": "317-525-4483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3073 SALT LAKE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462141432",
"telephone_number": "317-296-4187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLEAN-KENNEDY",
"first_name": "DONALD",
"middle_name": "RAMBO CONNOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-29",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"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 Jul 29, 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.