Rising Sun Modern Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

71004143A Issued in IN

Legal business name

RISING SUN MODERN MEDICINE

Practice address

120 N Walnut St
Suite a
Rising Sun, IN 47040-1276

Phone

(812) 438-1216

Fax

(812) 438-1252

NPI assigned

Nov 9, 2016

Organization subpart

Yes

Parent organization

LAWRENCEBURG URGENT CAREAs reported in NPPES

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

Authorized official

Name

Katrina R Lock, APRN FNP-BC

Title

Nurse Practitioner, Manager

Phone

(812) 221-0332

Specialties & licenses 1

Addresses

Part of

Lawrenceburg Urgent Care

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Lawrenceburg Urgent Care

  • Urgent Care Clinic/Center
  • Lawrenceburg, IN
  • NPI 1629181102
  NPPES parent name

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1356883243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "RISING SUN",
            "state": "IN",
            "postal_code": "470400026",
            "telephone_number": "812-438-1216",
            "fax_number": "812-438-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N WALNUT ST",
            "address_2": "SUITE A",
            "city": "RISING SUN",
            "state": "IN",
            "postal_code": "470401276",
            "telephone_number": "812-438-1216",
            "fax_number": "812-438-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING SUN MODERN MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAWRENCEBURG URGENT CARE",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "LOCK",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "NURSE PRACTITIONER, MANAGER",
        "authorized_official_telephone_number": "812-221-0332",
        "authorized_official_credential": "APRN FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "71004143A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Performance Plus LLC
• Julee Redwine, APRN
• Kendra Reeder
• Rising Sun Fire Department Inc
• Rising Sun Medical Center Inc
• Rising Sun Pharmacy,Inc.
• Rising Sun-Ohio County Community Schools
• Angela Gail Rose, PTA
• Hannah Lee Rose, MS, CF-SLP
• Simply Beds LLC

• Primary Care Clinic/Center in Rising Sun, IN
• Providers in Rising Sun, 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 Nov 9, 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.