NPIMap

Organization Active NPI

Nurseu Healthcare, LLC.

Doing business as Mercer Health

  • Primary Care Nurse Practitioner
  • Avon, IN
National Provider Identifier
1558955773
Registry record updated Feb 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
NURSEU HEALTHCARE, LLC.
Doing business as
Mercer Health
Practice address
7640 Basswood Dr
Avon, IN 46123-7564
Phone
(803) 915-1774
NPI assigned
Feb 28, 2021
Last updated
Feb 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2021

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

Authorized official

Name
Shanaya GreenNPI 1669066288
Title
Aprn
Phone
(803) 915-1774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

7640 Basswood Dr
Avon, IN 46123-7564

Mailing address

7640 Basswood Dr
Avon, IN 46123-7564
Phone (803) 915-1774

Other names 1

  • Mercer Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614470400000",
    "number": "1558955773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 BASSWOOD DR",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237564",
            "telephone_number": "803-915-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 BASSWOOD DR",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237564",
            "telephone_number": "803-915-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSEU HEALTHCARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-28",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SHANAYA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "803-915-1774"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercer Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.