Sweet Peas, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

31000165A Issued in IN

Legal business name

SWEET PEAS, INC.

Practice address

10620 Corporate Dr
Suite C
Fort Wayne, IN 46845-1711

Phone

(260) 341-8230

Fax

(260) 440-8806

NPI assigned

Feb 4, 2007

Organization subpart

No

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

Authorized official

Name

Lisa M. Coville, OTR

Title

Owner

Phone

(260) 341-8230

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1326186966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 CORPORATE DR",
            "address_2": "SUITE C",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451711",
            "telephone_number": "260-341-8230",
            "fax_number": "260-440-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 CORPORATE DR",
            "address_2": "SUITE C",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451711",
            "telephone_number": "260-341-8230",
            "fax_number": "260-440-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET PEAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-04",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "COVILLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-341-8230",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "31000165A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Swank
• Samantha J Swann
• Samantha Swantek, MS, OTRL, CLT
• Raquel Snow Swardson, LCSW
• Dolorita Rose Sweeney, D.O.
• Leslie Sweet, COTA
• Destiny Swenson
• Maria Jolanta Swiatkowska, P.T.
• Matthew Swick
• Katherine Swift

• Specialist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.