Individual provider Active NPI

Arlene Marie Graffitti-Glass, OTR

  • Specialist
  • Indianapolis, IN
National Provider Identifier
1447424379
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
31002651A Issued in IN
Practice address
9450 Kerwood Dr
Indianapolis, IN 46240-1328
Phone
(317) 513-1866
Fax
(317) 580-0379
NPI assigned
Apr 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 31002651A IN Primary

Addresses

Primary practice location

9450 Kerwood Dr
Indianapolis, IN 46240-1328

Mailing address

9450 Kerwood Dr
Indianapolis, IN 46240-1328
Phone (317) 513-1866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31002651AINMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1447424379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 KERWOOD DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401328",
            "telephone_number": "317-513-1866",
            "fax_number": "317-580-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 KERWOOD DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401328",
            "telephone_number": "317-513-1866",
            "fax_number": "317-580-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAFFITTI-GLASS",
        "first_name": "ARLENE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "31002651A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.