Active NPI
State of Indiana: Indiana Department of Correction
- General Practice Physician
- Indianapolis, IN
National Provider Identifier
1861307340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- STATE OF INDIANA: INDIANA DEPARTMENT OF CORRECTION
- Practice address
- 302 W Washington St
Indianapolis, IN 46204 - Phone
- (317) 233-6984
- NPI assigned
- Aug 18, 2026
- Last updated
- Aug 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cherrie L. Olson
- Title
- Chief Financial Officer
- Phone
- (317) 698-0093
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Public Health & General Preventive Medicine Physician | 2083P0901X | |||
| General Practice Physician | 208D00000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
302 W Washington St
Indianapolis, IN 46204
Mailing address
302 W Washington St
Indianapolis, IN 46204
Phone (317) 233-6984
National Provider Directory
National Provider Directory- Tax ID family
- Indiana State Department of
Other organizations with this tax ID 31
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Indianapolis, IN
- NPI 1457875460
-
- Local Education Agency (LEA)
- Indianapolis, IN
- NPI 1699837609
-
dba Indiana Department of Health State Laboratory
- Clinical Medical Laboratory
- Indianapolis, IN
- NPI 1265755136
-
- Psychiatric Hospital
- Indianapolis, IN
- NPI 1104944768
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Richmond, IN
- NPI 1710081385
-
- Clinic/Center
- Knightstown, IN
- NPI 1982873717
-
dba Richmond State Hospital
- Psychiatric Hospital
- Richmond, IN
- NPI 1093933236
-
- Local Education Agency (LEA)
- Indianapolis, IN
- NPI 1518094994
-
dba Indiana Department of Health Laboratories
- Clinical Medical Laboratory
- Indianapolis, IN
- NPI 1194033092
-
dba Indiana Veterans' Home
- Nursing Facility/Intermediate Care Facility
- West Lafayette, IN
- NPI 1194778001
-
dba Evansville State Hospital
- Psychiatric Hospital
- Evansville, IN
- NPI 1235250788
-
dba Evansville State Hospital
- Intellectual Disabilities Intermediate Care Facility
- Evansville, IN
- NPI 1326169871
Locations
302 W Washington St
Indianapolis, IN 46204
Phone (317) 233-6984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787011200000",
"number": "1861307340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 W WASHINGTON ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46204",
"telephone_number": "317-233-6984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 W WASHINGTON ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46204",
"telephone_number": "317-233-6984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE OF INDIANA: INDIANA DEPARTMENT OF CORRECTION",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-18",
"last_updated": "2026-08-18",
"status": "A",
"authorized_official_last_name": "OLSON",
"authorized_official_first_name": "CHERRIE",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "317-698-0093"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
- State of Indiana Auditor of State (NeuroDiagnostic Institute Pharmacy)
- State of Indiana Auditor of the State (First Steps)
- State of Indiana, Auditor of State (Indiana Department of Health)
- State of Indiana, Auditor of State (NeuroDiagnostic Institute)
- State of Indiana, Auditor of State (NeuroDiagnostic Institute)
- State of Mind Therapy & Coaching LLC
- Chalais Stathers, MSED
- Melinda Staub, MD
- Elizabeth Mary Staubach, MPT
- Therese Staublin, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.