2911 Jeremiah

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

2911 JEREMIAH

Doing business as

Elizabeth L McGee

Practice address

101 Oak St
Portland, IN 47371-3040

Phone

(260) 705-3515

NPI assigned

Jul 18, 2023

Last updated

Dec 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth McGeeNPI 1699730739

Title

Owner

Phone

(260) 705-3515

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth L McGee Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth L McGee, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1699730739
  NPD Authorized official

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1760162523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1034",
            "city": "FORT ASHBY",
            "state": "WV",
            "postal_code": "267191034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OAK ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473713040",
            "telephone_number": "260-705-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2911 JEREMIAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-705-3515"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth L McGee",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elizabeth L McGee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Portland, IN
• Providers in Portland, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.