A Radiance Wellness, LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

A RADIANCE WELLNESS, LLC

Practice address

9636 Piper Lake Dr
Indianapolis, IN 46239-6830

Phone

(317) 640-5072

Fax

(317) 640-5072

NPI assigned

Oct 1, 2025

Organization subpart

No

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

Authorized official

Name

Shaleea Mason, NPNPI 1891174447

Title

Ceo/Owner

Phone

(317) 640-5072

Specialties & licenses 1

Addresses

Other names 1

• A Radiance Homecare, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaleea Mason, NP

  • Nurse Practitioner
  • New Palestine, IN
  • NPI 1891174447

  IN

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1376417477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9636 PIPER LAKE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462396830",
            "telephone_number": "317-640-5072",
            "fax_number": "317-640-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9636 PIPER LAKE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462396830",
            "telephone_number": "317-640-5072",
            "fax_number": "317-640-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A RADIANCE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "SHALEEA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "317-640-5072",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Radiance Homecare, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Indianapolis, IN
• Health & Wellness Coach in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.