Active NPI
Twila Harvest
- Prosthetist
- Michigan City, IN
National Provider Identifier
1871255273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- BC21601512
- Practice address
- 501 Dupage St
Michigan City, IN 46360-4703 - Phone
- (219) 814-2410
- NPI assigned
- Oct 12, 2021
- Last updated
- Jan 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | BC21601512 | IN | Primary |
Addresses
Primary practice location
501 Dupage St
Michigan City, IN 46360-4703
Mailing address
501 Dupage St
Michigan City, IN 46360-4703
Phone (219) 814-2410
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 |
|---|---|---|---|
| BC21601512 | IN | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milk&Honey Beautique | Prosthetist | 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": "1633996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1871255273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 DUPAGE ST",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463604703",
"telephone_number": "219-814-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 DUPAGE ST",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463604703",
"telephone_number": "219-814-2410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVEST",
"first_name": "TWILA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-12",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "IN",
"license": "BC21601512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.