Jalk & P LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

JALK & P LLC

Practice address

6907 Ennis Dr
Brownsburg, IN 46112-5603

Phone

(773) 715-7219

NPI assigned

Oct 19, 2022

Organization subpart

No

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

Authorized official

Name

Ayee Teah Bleemie, NP

Title

NP

Phone

(773) 715-7219

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1760108880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6907 ENNIS DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461125603",
            "telephone_number": "773-715-7219",
            "fax_number": "317-659-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6907 ENNIS DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461125603",
            "telephone_number": "773-715-7219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4954 E 56th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462205773",
            "country_code": "US",
            "telephone_number": "800-561-2078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JALK & P LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "BLEEMIE",
        "authorized_official_first_name": "AYEE",
        "authorized_official_middle_name": "TEAH",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "773-715-7219",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fax",
            "affiliation": "N",
            "endpointDescription": "secure",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "3176598825",
            "address_1": "6907 Ennis Dr",
            "city": "Brownsburg",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461125603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.