Active NPI
Jerome Joy, R.N.
- Pediatric Registered Nurse
- Indianapolis, IN
National Provider Identifier
1174839260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 28159971A
- Practice address
- 6923 Hillsdale CT
Indianapolis, IN 46250-2054 - Phone
- (765) 987-8171
- NPI assigned
- Aug 26, 2010
- Last updated
- Aug 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 28159971A | IN | Primary |
Addresses
Primary practice location
6923 Hillsdale CT
Indianapolis, IN 46250-2054
Mailing address
PO Box 94
215 S. Pearl St.
Spiceland, IN 47385-0094
Phone (765) 987-8171
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28159971A | IN | MD | Pediatric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1174839260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94",
"address_2": "215 S. PEARL ST.",
"city": "SPICELAND",
"state": "IN",
"postal_code": "473850094",
"telephone_number": "765-987-8171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6923 HILLSDALE CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502054",
"telephone_number": "765-987-8171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOY",
"first_name": "JEROME",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-26",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "IN",
"license": "28159971A",
"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 Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.