Organization Active NPI

SS Wellness PC

  • Nurse Practitioner
  • Fishers, IN
National Provider Identifier
1346696895
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
SS WELLNESS PC
Practice address
14074 Trade Center Dr
Suite 136
Fishers, IN 46038-4563
Phone
(317) 410-4242
NPI assigned
May 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Dr. Paula Jones, DC
Title
President/Owner
Phone
(317) 410-4242

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

14074 Trade Center Dr
Suite 136
Fishers, IN 46038-4563

Mailing address

14074 Trade Center Dr
Suite 136
Fishers, IN 46038-4563
Phone (317) 410-4242

National Provider Directory

National Provider Directory

Locations

14074 Trade Center Dr
Ste 136
Fishers, IN 46038
Phone (317) 410-4242

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1346696895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14074 TRADE CENTER DR",
            "address_2": "SUITE 136",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384563",
            "telephone_number": "317-410-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14074 TRADE CENTER DR",
            "address_2": "SUITE 136",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460384563",
            "telephone_number": "317-410-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SS WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "317-410-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.