Organization Active NPI

Open Phase Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Beech Grove, IN
National Provider Identifier
1497667067
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
OPEN PHASE HEALTH LLC
Practice address
301 Main St
Beech Grove, IN 46107-1835
Phone
(317) 680-2568
Fax
(317) 680-2592
NPI assigned
Sep 18, 2026
Last updated
Sep 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Dr. Tracie Aundrea Jones, DNP, FNP-C, PMHNP-BC
Title
Owner/Managing Member
Phone
(317) 680-2568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

301 Main St
Beech Grove, IN 46107-1835

Mailing address

301 Main St
Beech Grove, IN 46107-1835
Phone (317) 680-2568

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1497667067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAIN ST",
            "city": "BEECH GROVE",
            "state": "IN",
            "postal_code": "461071835",
            "telephone_number": "317-680-2568",
            "fax_number": "317-680-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAIN ST",
            "city": "BEECH GROVE",
            "state": "IN",
            "postal_code": "461071835",
            "telephone_number": "317-680-2568",
            "fax_number": "317-680-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN PHASE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "AUNDREA",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "317-680-2568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beech Grove, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.