Indigo Texas, LLC

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

Legal business name

INDIGO TEXAS, LLC

Practice address

2601 Cedarbrook LN
Prosper, TX 75078-8972

Phone

(469) 714-2570

NPI assigned

Jan 26, 2023

Organization subpart

No

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

Authorized official

Name

Kellie Gibson, RN, BSN

Title

Principal

Phone

(469) 714-2570

Specialties & licenses 1

Addresses

Tax ID family

15 Annually2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Indigo Texas, LLC

  • Community Based Hospice Care Agency
  • Prosper, TX
  • NPI 1225790025
  NPD tax ID

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1386350064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CEDARBROOK LN",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CEDARBROOK LN",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788972",
            "telephone_number": "469-714-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "469-714-2570",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sindhu Basavaiah Igala, M.D.
• Chioma Igwiloh
• Khadija Ijaz
• Imagine Mind Counseling
• Indigo Texas, LLC
• Infinity Community Services LLC
• Wasie Jawed Iqbal, M.D.
• Robin Lynn Isaacks, APN
• Javeria Ismail
• Kalpana Srinivasan Iyengar

• Hospice and Palliative Medicine (Family Medicine) Physician in Prosper, TX
• Providers in Prosper, TX by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.