Organization Active NPI

Lord of Heaven'S Armies LLC

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1306603816
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LORD OF HEAVEN'S ARMIES LLC
Practice address
3549 Boulevard PL
Indianapolis, IN 46208-4403
Phone
(317) 500-4362
NPI assigned
Mar 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Stephanie Preston, NPNPI 1447882840
Title
Owner
Phone
(317) 500-4362

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3549 Boulevard PL
Indianapolis, IN 46208-4403

Mailing address

9304 Tower Bridge Rd Apt B
Indianapolis, IN 46240-5435
Phone (317) 500-4362

National Provider Directory

National Provider Directory

Locations

3549 Boulevard Pl
Indianapolis, IN 46208
Phone (317) 431-6952

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": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1306603816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9304 TOWER BRIDGE RD APT B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462405435",
            "telephone_number": "317-500-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3549 BOULEVARD PL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084403",
            "telephone_number": "317-500-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORD OF HEAVEN'S ARMIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-500-4362",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "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 Mar 1, 2024; 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.