NPIMap

Organization Active NPI

The Little Clinic of Indiana LLC

  • Family Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1811922792
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
THE LITTLE CLINIC OF INDIANA LLC
Practice address
2956 E 10TH St
Jeffersonville, IN 47130-5914
Phone
(812) 284-2488
Fax
(812) 284-3291
NPI assigned
Jul 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bradley Pruitt, ESQUIRE
Title
Secretary
Phone
(502) 301-7408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2956 E 10TH St
Jeffersonville, IN 47130-5914

Mailing address

9721 Ormsby Station Rd
Ste 106
Louisville, KY 40223-4095
Phone (502) 423-1103

National Provider Directory

National Provider Directory

Locations

2629 E 65th St
Indianapolis, IN 46220
Phone (317) 252-5333

8150 Rockville Rd
Indianapolis, IN 46214
Phone (317) 217-5261

8850 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 215-8013

2956 E 10th St
Jeffersonvlle, IN 47130
Phone (317) 644-7885

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811922792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 ORMSBY STATION RD",
            "address_2": "STE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234095",
            "telephone_number": "502-423-1103",
            "fax_number": "502-423-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2956 E 10TH ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471305914",
            "telephone_number": "812-284-2488",
            "fax_number": "812-284-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LITTLE CLINIC OF INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "502-301-7408",
        "authorized_official_credential": "ESQUIRE"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.