Peony Health Services

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

Legal business name

PEONY HEALTH SERVICES

Practice address

438 S Emerson Ave Ste 164
Greenwood, IN 46143-1948

Phone

(317) 203-4441

NPI assigned

Jun 29, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Hisayi, RN

Title

Ceo/Administrator

Phone

(317) 203-4441

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1477170157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 S EMERSON AVE STE 164",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431948",
            "telephone_number": "317-203-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 S EMERSON AVE STE 164",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431948",
            "telephone_number": "317-203-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEONY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "HISAYI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "317-203-4441",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diane Beth Pennycuff, OT
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• Jessica Perkins, MSW
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• Administrator Registered Nurse in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Administrator Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.