Active NPI
Riona Lasha Pruitt
- Homemaker
- Indianapolis, IN
National Provider Identifier
1528896941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 24-017205-1
- Practice address
- 11053 Amburg CT
Indianapolis, IN 46235-9753 - Phone
- (317) 628-6208
- NPI assigned
- Jul 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | 24-017205-1 | IN | |
| Homemaker | 376J00000X | 24-017205-1 | IN | Primary |
Addresses
Primary practice location
11053 Amburg CT
Indianapolis, IN 46235-9753
Mailing address
11053 Amburg CT
Indianapolis, IN 46235-9753
Phone (317) 628-6208
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24-017205-1 | IN | MD | Attendant Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1528896941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11053 AMBURG CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462359753",
"telephone_number": "317-628-6208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11053 AMBURG CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462359753",
"telephone_number": "317-628-6208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "RIONA",
"middle_name": "LASHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-25",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "IN",
"license": "24-017205-1",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "IN",
"license": "24-017205-1",
"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 Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.