Holistic Medical and Wellness Center of in, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

71001160B Issued in IN

Legal business name

HOLISTIC MEDICAL AND WELLNESS CENTER OF IN, LLC

Practice address

8424 Naab Rd
Suite 3P
Indianapolis, IN 46260-5918

Phone

(317) 608-6090

Fax

(317) 608-6095

NPI assigned

Dec 12, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Randee L Miller, MSN APRN BC

Title

Nurse Practitioner/Owner

Phone

(317) 608-6090

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1260576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260576000000",
    "number": "1336478890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 NAAB RD",
            "address_2": "SUITE 3P",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605918",
            "telephone_number": "317-608-6090",
            "fax_number": "317-608-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 NAAB RD",
            "address_2": "SUITE 3P",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605918",
            "telephone_number": "317-608-6090",
            "fax_number": "317-608-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC MEDICAL AND WELLNESS CENTER OF IN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-12",
        "last_updated": "2009-12-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RANDEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "317-608-6090",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN APRN BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "71001160B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200840870",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica E Holford
• Thomas Holian, MD
• Dashaynequa Holiday
• Symeon Holiman, RN
• Holistic Guidance LLC
• Riley Andrew Holkan
• Joylynn Holladay, MS, OTR/L
• Holland Dental
• Holland Eye Care,Inc.
• Ajene Holland, RBT

• Primary Care Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.