Jimmy Strong

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

27064700A Issued in IN

Practice address

357 Tanger Blvd Ste 215
Seymour, IN 47274-3597

Phone

(812) 558-9016

NPI assigned

Aug 15, 2016

Sex

Male

Sole proprietor

No

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

Locations

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

• Seymour Treatment Center, LLC

  • Methadone Clinic
  • Seymour, IN
  • NPI 1780354522
  NPD

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1154875565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 TANGER BLVD STE 215",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472743597",
            "telephone_number": "812-558-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 TANGER BLVD STE 215",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472743597",
            "telephone_number": "812-558-9016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7509 Charlestown Pike",
            "address_purpose": "LOCATION",
            "city": "Charlestown",
            "state": "IN",
            "postal_code": "471119623",
            "country_code": "US",
            "telephone_number": "812-256-4686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRONG",
        "first_name": "JIMMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-15",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27064700A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Stidham
• Leann Marie Stidham, M.D.
• David Ryan Stone, D.O.
• David R Stout, MD
• Nathan M Strabala, MD
• Jason Tyler Stuckwisch, DDS
• Erin Lynn Stuckwish, FNP
• Karen S Stumpf, CRNA
• Kathy May Sunbury, PT
• Sunrise Healthcare, LLC

• Licensed Practical Nurse in Seymour, IN
• Providers in Seymour, 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 Jan 31, 2023; 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.