NPIMap

Organization Active NPI

The Lutheran University Association Inc.

Doing business as Valparaiso University

  • Student Health Clinic/Center
  • Valparaiso, IN
National Provider Identifier
1841672284
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
THE LUTHERAN UNIVERSITY ASSOCIATION INC.
Doing business as
Valparaiso University
Practice address
55 University Dr
Suite #102
Valparaiso, IN 46383-2195
Phone
(219) 464-5060
Fax
(219) 464-5410
NPI assigned
Jun 22, 2015
Last updated
Jun 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Kelley Eshenaur, FNP-CNPI 1205124179
Title
Health Center Director
Phone
(219) 464-5352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

55 University Dr
Suite #102
Valparaiso, IN 46383-2195

Mailing address

1700 Chapel Dr
Valparaiso, IN 46383-4520
Phone (219) 464-5000

Other names 1

  • Valparaiso University Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0970803Valparaiso University Health Center55 University Drive, Suite 102, Valparaiso, IN 46383Provider-performed microscopyFeb 24, 2028
15D2101696Marathon Health at Valparaiso University55 University Dr Suite 102, Valparaiso, IN 46383Certificate of waiverAug 18, 2027

National Provider Directory

National Provider Directory

Locations

1700 Chapel Dr
Valparaiso, IN 46383
Phone (219) 464-5000

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1841672284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CHAPEL DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834520",
            "telephone_number": "219-464-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 UNIVERSITY DR",
            "address_2": "SUITE #102",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832195",
            "telephone_number": "219-464-5060",
            "fax_number": "219-464-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LUTHERAN UNIVERSITY ASSOCIATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "ESHENAUR",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "HEALTH CENTER DIRECTOR",
        "authorized_official_telephone_number": "219-464-5352",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valparaiso University",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.