White River Development Group, Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71000465A Issued in IN

Legal business name

WHITE RIVER DEVELOPMENT GROUP, INC.

Practice address

1250 E County Line Rd
Suite 2
Indianapolis, IN 46227-1004

Phone

(317) 885-3677

Fax

(317) 885-3678

NPI assigned

Feb 19, 2008

Organization subpart

No

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

Authorized official

Name

Susie Anderson

Title

Practice Manager

Phone

(317) 885-3677

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Complementary Medicine Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peggy Glaubke Daly, N.P.

  • Primary Care Nurse Practitioner
  • Indianapolis, IN
  • NPI 1497785802
  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1275701633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E COUNTY LINE RD",
            "address_2": "SUITE 2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271004",
            "telephone_number": "317-885-3677",
            "fax_number": "317-885-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E COUNTY LINE RD",
            "address_2": "SUITE 2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271004",
            "telephone_number": "317-885-3677",
            "fax_number": "317-885-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE RIVER DEVELOPMENT GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "317-885-3677"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000465A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "71000465",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "595590HHH",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Complementary Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Whitaker
• Stacia L. Whitaker, NP
• Tracy Ann Whitaker, MA, RD, CD
• Samantha Whitcomb
• Teresa Whitcomb
• Taylor Richelle White-Tate
• Alexa White
• Alize White, RBT
• Ambria Denise Marie White, MA
• Anauntica White

• Family Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.