Active NPI
Theresa Harney
- Day Training/Habilitation Specialist
- Dale, IN
National Provider Identifier
1730348772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 17049 N State Road 245
Dale, IN 47523 - Phone
- (812) 686-2476
- NPI assigned
- Jun 5, 2008
- Last updated
- Jun 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | NU | Primary |
Addresses
Primary practice location
17049 N State Road 245
Dale, IN 47523
Mailing address
PO Box 167
Santa Claus, IN 47579-0167
Phone (812) 686-2476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200863260 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1730348772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 167",
"city": "SANTA CLAUS",
"state": "IN",
"postal_code": "475790167",
"telephone_number": "812-686-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17049 N STATE ROAD 245",
"city": "DALE",
"state": "IN",
"postal_code": "47523",
"telephone_number": "812-686-2476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARNEY",
"first_name": "THERESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-05",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200863260",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dale, IN
- Deaconess Memorial Medical Center Inc (Dale Family Medicine)
- Extendicare Homes, Inc. (Professional Care Rehabilitation Center)
- Family & Implant Dentistry of Dale, LLC
- David Fisher, DDS
- Stacy Marie George, MS., SLP
- Alexis Henning, RBT
- Jayci Brenae Howe, RBT
- Ashraf Jewell, PTA
- Kimberly Renee Jochem, OTR
- Paula J Jochim, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.