NPIMap

Organization Active NPI

Jonathon T. Agee NP, LLC

  • Primary Care Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1851755466
Registry record updated Apr 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
71000676A Issued in IN
Legal business name
JONATHON T. AGEE NP, LLC
Practice address
7855 S Emerson Ave Ste H
Indianapolis, IN 46237-8669
Phone
(317) 300-0370
NPI assigned
Apr 9, 2016
Last updated
Apr 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2016

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

Authorized official

Name
Jonathon Agee, NP
Title
Owner
Phone
(317) 300-0370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 71000676A IN Primary

Addresses

Primary practice location

7855 S Emerson Ave Ste H
Indianapolis, IN 46237-8669

Mailing address

7855 S Emerson Ave Ste H
Indianapolis, IN 46237-8669
Phone (317) 300-0370

Other identifiers 1

IdentifierTypeStateIssuer
200489910MedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460160000000",
    "number": "1851755466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 S EMERSON AVE STE H",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378669",
            "telephone_number": "317-300-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 S EMERSON AVE STE H",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378669",
            "telephone_number": "317-300-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHON T. AGEE NP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-09",
        "last_updated": "2016-04-09",
        "status": "A",
        "authorized_official_last_name": "AGEE",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-300-0370",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "71000676A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200489910",
            "state": "IN"
        }
    ],
    "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 Apr 9, 2016; 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.