Organization Active NPI

Mignonette Darlene Certified LLC

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1255000428
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MIGNONETTE DARLENE CERTIFIED LLC
Practice address
4430 Evanston Ave
Indianapolis, IN 46205-2242
Phone
(317) 503-9926
NPI assigned
Sep 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Mignonette Darlene, MSN, FNP-BCNPI 1740729292
Title
Owner
Phone
(317) 503-9926

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
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

4430 Evanston Ave
Indianapolis, IN 46205-2242

Mailing address

4430 Evanston Ave
Indianapolis, IN 46205-2242
Phone (317) 503-9926

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mignonettedarlenecertified.com

National Provider Directory

National Provider Directory

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": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1255000428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 EVANSTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052242",
            "telephone_number": "317-503-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 EVANSTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462052242",
            "telephone_number": "317-503-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGNONETTE DARLENE CERTIFIED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "DARLENE",
        "authorized_official_first_name": "MIGNONETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-503-9926",
        "authorized_official_credential": "MSN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mignonettedarlenecertified.com",
            "affiliation": "N",
            "address_1": "4430 Evanston Ave",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462052242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 10, 2021; 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.