Individual provider Active NPI

Doris Jean Brummer, LPN

  • School Clinical Nurse Specialist
  • Indianapolis, IN
National Provider Identifier
1598636409
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Clinical Nurse SpecialistTaxonomy code 364SS0200X
License
27043076A Issued in IN
Practice address
3426 Roosevelt Ave
Indianapolis, IN 46218-3762
Phone
(317) 226-4251
Fax
(317) 226-3312
NPI assigned
Sep 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Clinical Nurse Specialist 364SS0200X 27043076A IN Primary

Addresses

Primary practice location

3426 Roosevelt Ave
Indianapolis, IN 46218-3762

Mailing address

3426 Roosevelt Ave
Indianapolis, IN 46218-3762
Phone (317) 226-4251

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
27043076AINMDSchool Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1598636409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3426 ROOSEVELT AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462183762",
            "telephone_number": "317-226-4251",
            "fax_number": "317-226-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3426 ROOSEVELT AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462183762",
            "telephone_number": "317-226-4251",
            "fax_number": "317-226-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMMER",
        "first_name": "DORIS",
        "middle_name": "JEAN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SS0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, School",
            "state": "IN",
            "license": "27043076A",
            "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 15, 2025; 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.