Active NPI
MH Nursing of Indiana, PC
- General Practice Physician
- Crown Point, IN
National Provider Identifier
1194359240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MH NURSING OF INDIANA, PC
- Practice address
- 10090 Georgia St
Crown Point, IN 46307-6526 - Phone
- (219) 472-4077
- NPI assigned
- Feb 27, 2020
- Organization subpart
- Yes
- Parent organization
- MH NURSING OF INDIANA, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Nass, APN
- Title
- President
- Phone
- (802) 857-0400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
10090 Georgia St
Crown Point, IN 46307-6526
Mailing address
PO Box 5
Winooski, VT 05404-0005
Phone (802) 857-0400
Other names 1
- Pipefitters Local 597 Crown Pt
National Provider Directory
National Provider Directory- Tax ID family
- MH Nursing of Indiana PC
- Part of
- MH Nursing of Indiana PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nurse Practitioner
- Crawfordsville, IN
- NPI 1093370454
-
- Family Nurse Practitioner
- Huntington, IN
- NPI 1962837393
Locations
10090 Georgia St
Crown Point, IN 46307
Phone (219) 472-4077
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Crown Point, IN
- NPI 1588448567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582761600000",
"number": "1194359240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "WINOOSKI",
"state": "VT",
"postal_code": "054040005",
"telephone_number": "802-857-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10090 GEORGIA ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463076526",
"telephone_number": "219-472-4077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MH NURSING OF INDIANA, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MH NURSING OF INDIANA, PC",
"enumeration_date": "2020-02-27",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A",
"authorized_official_last_name": "NASS",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "802-857-0400",
"authorized_official_credential": "APN"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pipefitters Local 597 Crown Pt",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.