Glo Ink, LLC.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

GLO INK, LLC.

Practice address

11801 Commercial Dr
Fishers, IN 46038-3110

Phone

(317) 676-9966

NPI assigned

Oct 17, 2021

Last updated

Oct 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dani Evans

Title

Owner

Phone

(317) 667-2035

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1634428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634428800000",
    "number": "1407519416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 FAIR WEATHER DR",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460648598",
            "telephone_number": "317-667-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 COMMERCIAL DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460383110",
            "telephone_number": "317-676-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLO INK, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-17",
        "last_updated": "2021-10-17",
        "certification_date": "2021-10-17",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-667-2035",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING",
            "identifier": "01682288300",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haylea Girst
• April S Gish, MD
• Chelsea Glade, LMHC
• Mercedes Glass
• Megan Elizabeth Glaub, PHARMD
• Global Smiles Dental 8 LLC (7 Days Family Dental of Fishers)
• Julia Glover
• Todd Glowacki, BCBA
• Lauren Goa
• Kristen W Gollnick, M.D.

• Athletic Trainer in Fishers, IN
• Providers in Fishers, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2021; 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.