Jeremy Boswell
Individual provider Active NPI Case Manager/Care Coordinator · Plainfield, IN
NPI 1669201661 · NPPES record last updated Jul 29, 2024
Key facts
- NPI
- 1669201661
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 855 Wayside Dr
Plainfield, IN 46168-2331 - Phone
- (765) 277-0609
- NPI assigned
- Jul 29, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kindred Community Resources, LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
855 Wayside Dr
Plainfield, IN 46168-2331
Mailing address
3938 Mann Village Rd Apt 153
Indianapolis, IN 46221-2543
Other providers in Plainfield, IN
- Bloom Dental-Plainfield, LLC
- Emma Boas
- Jeffery Wade Bolton
- Tori Bolton
- Philip J Borders
- Emily Bowen
- Laura Bowers
- Breanna Bowling
- Kelly Bowman
- Alicia Boyll
All providers in Plainfield, IN · Case Manager/Care Coordinator in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.