Organization Active NPI

Family Health Practitioners, LLC

  • General Practice Physician
  • Fort Wayne, IN
National Provider Identifier
1801138102
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FAMILY HEALTH PRACTITIONERS, LLC
Practice address
909 River Oak Run
Fort Wayne, IN 46804-3543
Phone
(812) 653-0312
NPI assigned
Mar 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Authorized official

Name
Tracy Johnson, N.P.
Title
N.P.
Phone
(812) 653-0312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X IN Primary

Addresses

Primary practice location

909 River Oak Run
Fort Wayne, IN 46804-3543

Mailing address

909 River Oak Run
Fort Wayne, IN 46804-3543
Phone (812) 653-0312

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1801138102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 RIVER OAK RUN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468043543",
            "telephone_number": "812-653-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 RIVER OAK RUN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468043543",
            "telephone_number": "812-653-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH PRACTITIONERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "N.P.",
        "authorized_official_telephone_number": "812-653-0312",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.