Indiana Fat Loss Camps

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

INDIANA FAT LOSS CAMPS

Practice address

6417 Columbia Ave
Hammond, IN 46320-2747

Phone

(708) 525-0583

Fax

(219) 937-7736

NPI assigned

Oct 13, 2021

Organization subpart

No

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

Authorized official

Name

Bernadette Marie Lawrence, RN

Title

Owner

Phone

(708) 525-0583

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1780346197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 COLUMBIA AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463202747",
            "telephone_number": "708-525-0583",
            "fax_number": "219-937-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 COLUMBIA AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463202747",
            "telephone_number": "708-525-0583",
            "fax_number": "219-937-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA FAT LOSS CAMPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-525-0583",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Evette Hudson, MPT
• Stacia Humphrey
• Brandy Marie Hutcheson, PTA
• Chlotile C Ilagan, PT
• Independence Plus-in, LLC
• Naketa Renee Jackson
• Gitie S Jaffe, MD
• Marshall Edward James Jr., MD
• Taeisha Jamison
• Jay D Karol DDS

• Health Maintenance Organization in Hammond, IN
• Providers in Hammond, IN by specialty
• Health Maintenance Organization in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.