Active NPI
Angel Renee Bumphus
- Community/Behavioral Health Agency
- Indianapolis, IN
National Provider Identifier
1275197188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 1634 E Minnesota St
Indianapolis, IN 46203-2842 - Phone
- (317) 993-2473
- NPI assigned
- Apr 25, 2019
- Last updated
- May 21, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
1634 E Minnesota St
Indianapolis, IN 46203-2842
Mailing address
1634 E Minnesota St
Indianapolis, IN 46203-2842
Phone (317) 993-2473
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Community Clinic LLC | Current | Accepting new patients |
Locations
1634 E Minnesota St
Indianapolis, IN 46203
Phone (317) 993-2473
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Indianapolis, IN
- NPI 1194611665
-
- Home Health Agency
- Indianapolis, IN
- NPI 1982534186
-
- Clinical Medical Laboratory
- Indianapolis, IN
- NPI 1740072149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1275197188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1634 E MINNESOTA ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462032842",
"telephone_number": "317-993-2473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1634 E MINNESOTA ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462032842",
"telephone_number": "317-993-2473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUMPHUS",
"first_name": "ANGEL",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-25",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"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 May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.