Individual provider Active NPI

Falisha Deon Brightwell

  • Attendant Care Provider
  • Indianapolis, IN
National Provider Identifier
1326856113
Registry record updated Dec 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
License
240172731 Issued in IN
Practice address
55 S State Ave Unit 3111
Indianapolis, IN 46201-3802
Phone
(317) 221-9838
NPI assigned
Dec 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X 240172731 IN Primary

Addresses

Primary practice location

55 S State Ave Unit 3111
Indianapolis, IN 46201-3802

Mailing address

55 S State Ave Unit 3111
Indianapolis, IN 46201-3802
Phone (317) 221-9838

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

State licenses

LicenseStateTypeSpecialty
240172731INMDAttendant Care Provider

Practice roles

OrganizationSpecialtyStatusNew patients
Loving Care LLC CurrentSince Dec 29, 2024 Accepting new patients

Locations

55 S State Ave
Unit 3111
Indianapolis, IN 46201
Phone (317) 221-9838

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735084800000",
    "number": "1326856113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S STATE AVE UNIT 3111",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013802",
            "telephone_number": "317-221-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S STATE AVE UNIT 3111",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013802",
            "telephone_number": "317-221-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHTWELL",
        "first_name": "FALISHA",
        "middle_name": "DEON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-25",
        "last_updated": "2024-12-25",
        "certification_date": "2024-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "IN",
            "license": "240172731",
            "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 Dec 25, 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.