Organization Active NPI

Advanced Health Initiatives LLC

  • Family Nurse Practitioner
  • Frankfort, IN
National Provider Identifier
1649721267
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ADVANCED HEALTH INITIATIVES LLC
Practice address
1805 E Wabash St
Frankfort, IN 46041-2750
Phone
(317) 946-9929
Fax
(888) 846-1033
NPI assigned
Oct 19, 2016
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Dr. Duane SniderNPI 1356320113
Title
MBR
Phone
(317) 946-9929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary
Clinical Nurse Specialist 364S00000X NU
Chiropractor 111N00000X NU

Addresses

Primary practice location

1805 E Wabash St
Frankfort, IN 46041-2750

Mailing address

1805 E Wabash St
Frankfort, IN 46041-2750
Phone (317) 946-9929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240509002108 IN Part B Supplier - Clinic/Group Practice 8820439748 Receives reassigned benefits from 1 practitioner
Practice locations: Frankfort, IN

National Provider Directory

National Provider Directory

Locations

1805 E Wabash St
Frankfort, IN 46041
Phone (317) 946-9929

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": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1649721267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 E WABASH ST",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460412750",
            "telephone_number": "317-946-9929",
            "fax_number": "888-846-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 E WABASH ST",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460412750",
            "telephone_number": "317-946-9929",
            "fax_number": "888-846-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH INITIATIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "317-946-9929",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.