Active NPI
Janice Patterson, CXT(C)
- Cardiac-Interventional Technology Radiologic Technologist
- New Albany, IN
National Provider Identifier
1871999128
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Jun 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Cardiac-Interventional Technology Radiologic Technologist
- License
- XC000232
- Practice address
- 1222 State St
Ste 3
New Albany, IN 47150-4879 - Phone
- (812) 618-9284
- NPI assigned
- Nov 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | |||
| Recreation Therapist | 225800000X | |||
| Cardiac-Interventional Technology Radiologic Technologist | 2471C1106X | XC000232 | IN | Primary |
Addresses
Primary practice location
1222 State St
Ste 3
New Albany, IN 47150-4879
Mailing address
941 State St
Ste 5
New Albany, IN 47150-4727
Phone (812) 618-9284
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XC000232 | IN | MD | Cardiac-Interventional Technology Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JM Autism Foundation | Recreation Therapist | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415923200000",
"number": "1871999128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 STATE ST",
"address_2": "STE 5",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471504727",
"telephone_number": "812-618-9284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 STATE ST",
"address_2": "STE 3",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471504879",
"telephone_number": "812-618-9284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "JANICE",
"credential": "CXT(C)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-14",
"last_updated": "2014-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471C1106X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Cardiac-Interventional Technology",
"state": "IN",
"license": "XC000232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.