NPIMap

Organization Active NPI

Innate Way Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indianapolis, IN
National Provider Identifier
1316518129
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INNATE WAY WELLNESS LLC
Practice address
7440 N Shadeland Ave Ste 204
Indianapolis, IN 46250-2027
Phone
(317) 603-4152
Fax
(888) 400-7207
NPI assigned
Jul 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Lauren Michelle Alcorn, PHMNP-BCNPI 1396315354
Title
Nurse Practitioner
Phone
(317) 603-4152

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

7440 N Shadeland Ave Ste 204
Indianapolis, IN 46250-2027

Mailing address

7440 N Shadeland Ave Ste 204
Indianapolis, IN 46250-2027
Phone (317) 603-4152

Other names 1

  • Innate Way Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

7440 N Shadeland Ave
Ste 204
Indianapolis, IN 46250
Phone (317) 603-4152

Practitioners & affiliated clinicians

Practitioners 2

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": "1625270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1316518129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 N SHADELAND AVE STE 204",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502027",
            "telephone_number": "317-603-4152",
            "fax_number": "888-400-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 N SHADELAND AVE STE 204",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502027",
            "telephone_number": "317-603-4152",
            "fax_number": "888-400-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE WAY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-03",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "ALCORN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "317-603-4152",
        "authorized_official_credential": "PHMNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innate Way Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innate Way Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 20, 2023; 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.