Organization Active NPI

Footprintz, LLC

  • Personal Care Attendant
  • Indianapolis, IN
National Provider Identifier
1649092297
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
FOOTPRINTZ, LLC
Practice address
5845 Sunnyside Rd Ste 800
Indianapolis, IN 46235-8404
Phone
(317) 200-8475
NPI assigned
Oct 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Rachel Davis
Title
Ceo
Phone
(317) 200-8475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

5845 Sunnyside Rd Ste 800
Indianapolis, IN 46235-8404

Mailing address

4030 Benicia CT
Indianapolis, IN 46235-9001
Phone (317) 200-8475

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1649092297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 BENICIA CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462359001",
            "telephone_number": "317-200-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5845 SUNNYSIDE RD STE 800",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462358404",
            "telephone_number": "317-200-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINTZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-200-8475"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "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 Oct 25, 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.

Verify at the official NPI Registry.