Active NPI
Deondrea Owens
- Attendant Care Provider
- Indianapolis, IN
National Provider Identifier
1831928175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- 240176031
- Practice address
- 10220 Ironway Dr
Indianapolis, IN 46239-8832 - Phone
- (317) 372-4543
- NPI assigned
- Jul 26, 2024
- Last updated
- Jul 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 27067068C | IN | |
| Attendant Care Provider | 3747A0650X | 240176031 | IN | Primary |
Addresses
Primary practice location
10220 Ironway Dr
Indianapolis, IN 46239-8832
Mailing address
10220 Ironway Dr
Indianapolis, IN 46239-8832
Phone (317) 372-4543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27067068C | IN | MD | Licensed Practical Nurse |
| 240176031 | IN | MD | Attendant Care Provider |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Care LLC | Attendant Care Provider | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1831928175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10220 IRONWAY DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462398832",
"telephone_number": "317-372-4543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10220 IRONWAY DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462398832",
"telephone_number": "317-372-4543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "DEONDREA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-26",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "IN",
"license": "27067068C",
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": "IN",
"license": "240176031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.