Janine Elise Wallick, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

71001045A Issued in IN

Practice address

533 E County Line Rd
Suite 201
Greenwood, IN 46143-1073

Phone

(317) 706-7246

Fax

(317) 706-3417

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Citizens Health Corporation

  dba Citizens Health

  • Community Health Clinic/Center
  • Indianapolis, IN
  • NPI 1689653982
  NPD (past)
• T.L. Care, Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Indianapolis, IN
  • NPI 1982772935
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1669578548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602760",
            "telephone_number": "317-706-7246",
            "fax_number": "317-706-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 E COUNTY LINE RD",
            "address_2": "SUITE 201",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431073",
            "telephone_number": "317-706-7246",
            "fax_number": "317-706-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLICK",
        "first_name": "JANINE",
        "middle_name": "ELISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71001045A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200368100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip M Walker, MD
• Thomas Howard Walker, D.D.S.
• Jacob B Wall, PA-C
• Gabriel Wallace, RBT
• Jennifer Brooke Wallem, OTR
• Nicole Wallis
• Kerri Raye Walls, PT, CLT, LANA
• Laura Walradth
• Debrah Sue Waltke, OTR
• John Adam Walton, O.T.R.

• Adult Health Nurse Practitioner in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Adult Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.