Family Practice Visiting Providers LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

FAMILY PRACTICE VISITING PROVIDERS LLC

Practice address

120 E Market St Ste 1273
Indianapolis, IN 46204-3250

Phone

(317) 807-0859

Fax

(317) 807-0862

NPI assigned

Mar 7, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Tammie Rena Maiden, FNP

Title

Family Nurse Practitioner

Phone

(937) 248-9968

Specialties & licenses 1

Addresses

Other names 1

• Family Practice Visiting Providers Doing business as

Locations

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1215439161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EAST MARKET ST. SUITE 1273",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043250",
            "telephone_number": "317-807-0859",
            "fax_number": "317-807-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E MARKET ST STE 1273",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043250",
            "telephone_number": "317-807-0859",
            "fax_number": "317-807-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE VISITING PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "MAIDEN",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "937-248-9968",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice Visiting Providers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Nurse in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.