Janis Lorraine Chrissikos, RN, BSN, MSN, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

09000220A Issued in IN

Practice address

3732 New Vision Dr
Fort Wayne, IN 46845-1703

Phone

(260) 373-1100

Fax

(260) 373-1122

NPI assigned

Aug 16, 2012

Last updated

Nov 28, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Certified Nurse Midwife, Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Earthen Vessels Nurse Midwifery LLC

  • Medical Specialty Clinic/Center
  • Fort Wayne, IN
  • NPI 1053657775
  NPD (past) Authorized official

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385596800000",
    "number": "1780932053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 COUNTY ROAD 36",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467069404",
            "telephone_number": "260-704-7166",
            "fax_number": "260-357-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 NEW VISION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451703",
            "telephone_number": "260-373-1100",
            "fax_number": "260-373-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISSIKOS",
        "first_name": "JANIS",
        "middle_name": "LORRAINE",
        "credential": "RN, BSN, MSN, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2013-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000220A",
            "primary": true
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "IN",
            "license": "28120704A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Saprid Cho, OTD, OTR/L
• David J. Choi, DO
• Nitin Chopra, MD
• Jena N Chopson, NP
• Sonam M Chouksey, M.D.
• Michael Christian
• Christina Stapleton, L.L.C
• Christina Stemmler, LLC (Psychology Services & Consulting)
• Anna Christlieb
• Heather D Christlieb, PT

• Advanced Practice Midwife in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Advanced Practice Midwife in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2013; 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.