Eleecia Engram

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

24-017699-1 Issued in IN

Practice address

2529 Wheeler St
Indianapolis, IN 46218-2831

Phone

(317) 908-9446

NPI assigned

Jan 18, 2025

Last updated

Jan 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Eleecia's Full Spectrum Doula Services by Faith

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Indianapolis, IN
  • NPI 1215850805
  Authorized official Same address or phone

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

{
    "created_epoch": "1737158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1861203713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 WHEELER ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462182831",
            "telephone_number": "317-908-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 WHEELER ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462182831",
            "telephone_number": "317-908-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGRAM",
        "first_name": "ELEECIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-18",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "IN",
            "license": "24-017699-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Attendant Care Provider in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Attendant Care Provider in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; 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.