Active NPI
Eric Blythe Jr.
- Peer Specialist
- Indianapolis, IN
National Provider Identifier
1750214060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 5002
- Practice address
- 50 S Meridian St
Indianapolis, IN 46204-3530 - Phone
- (317) 606-6380
- NPI assigned
- Jun 5, 2026
- Last updated
- Jun 5, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 5002 | IN | Primary |
Addresses
Primary practice location
50 S Meridian St
Indianapolis, IN 46204-3530
Mailing address
711 W Smith Valley Rd
Greenwood, IN 46142-3050
Phone (317) 726-2121
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5002 | IN | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1750214060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 W SMITH VALLEY RD",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461423050",
"telephone_number": "317-726-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 S MERIDIAN ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462043530",
"telephone_number": "317-606-6380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLYTHE",
"first_name": "ERIC",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-05",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "IN",
"license": "5002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.