Darrika Denise Van, ACSM-CEP

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

1701 N Senate Blvd RM A1076
Indianapolis, IN 46202-1239

Phone

(317) 962-0243

NPI assigned

Dec 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1649983446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 TUSCANY LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545458",
            "telephone_number": "317-962-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD RM A1076",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "DARRIKA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "ACSM-CEP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Bailey Van Winkle, NP
• David Van Winkle
• Melissa Van Wormer, LCSW
• Christian Chenae Van Zee, MS, OTR/L
• Baotram Van, PHARMD
• Kexia Van
• Mindy M Van, D.D.S., M.S.D.
• Dawn Vanblarcum
• Allyssa Vanbuskirk, OTD, OTR/L
• Melissa Dawn Vance-Blackwell, MSW, LCSW

• All providers in Indianapolis, IN
• Clinical Exercise Physiologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.