Indigo Healthcare LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

ARNP9245432 Issued in FL

Legal business name

INDIGO HEALTHCARE LLC

Practice address

1693 Main St
Suite a
Sarasota, FL 34236-5864

Phone

(941) 915-6395

NPI assigned

Feb 12, 2016

Organization subpart

No

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

Authorized official

Name

Sheila Brion

Title

Chief Operating Officer

Phone

(941) 915-6395

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1720447279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12929 LA ROCHELLE CIR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334101406",
            "telephone_number": "941-915-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1693 MAIN ST",
            "address_2": "SUITE A",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365864",
            "telephone_number": "941-915-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "BRION",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "941-915-6395"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10574",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "FL",
            "license": "ME60327",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "ARNP9245432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.