Organization Active NPI

L. Michelle Wellness, LLC.

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1174810212
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002481A Issued in IN
Legal business name
L. MICHELLE WELLNESS, LLC.
Practice address
11925 E 65TH St
Suite 10
Indianapolis, IN 46236-3178
Phone
(317) 871-4902
Fax
(317) 663-4775
NPI assigned
Jul 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Ms. Latoya Peteet, DCNPI 1568499093
Title
Member
Phone
(317) 871-4902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 08002481A IN Primary

Addresses

Primary practice location

11925 E 65TH St
Suite 10
Indianapolis, IN 46236-3178

Mailing address

11925 E 65TH St
Suite 10
Indianapolis, IN 46236-3178
Phone (317) 871-4902

National Provider Directory

National Provider Directory

Locations

11925 E 65th St
Ste 10
Indianapolis, IN 46236
Phone (317) 871-4902

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": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1174810212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11925 E 65TH ST",
            "address_2": "SUITE 10",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462363178",
            "telephone_number": "317-871-4902",
            "fax_number": "317-663-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11925 E 65TH ST",
            "address_2": "SUITE 10",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462363178",
            "telephone_number": "317-871-4902",
            "fax_number": "317-663-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. MICHELLE WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "PETEET",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "317-871-4902",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002481A",
            "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 8, 2011; 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.