NPIMap

Organization Active NPI

Prima Bella Women'S Health, PC

  • Medical Specialty Clinic/Center
  • Valparaiso, IN
National Provider Identifier
1902145394
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
68000075A Issued in IN
Legal business name
PRIMA BELLA WOMEN'S HEALTH, PC
Practice address
85 E US Highway 6
Valparaiso, IN 46383-8947
Phone
(219) 462-0909
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Mary Ann Meyer Jones, M.D.
Title
President of Corporation
Phone
(219) 462-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 68000075A IN Primary

Addresses

Primary practice location

85 E US Highway 6
Valparaiso, IN 46383-8947

Mailing address

PO Box 1024
Valparaiso, IN 46384-1024
Phone (219) 462-0909

Other practice location 1

880 Eastport Centre Dr
Suite 200
Valparaiso, IN 46383-2906
Phone (219) 462-7267

Other identifiers 1

IdentifierTypeStateIssuer
201168900AMedicaidIN

National Provider Directory

National Provider Directory

Locations

2022 Kelle Dr
Chesterton, IN 46304
Phone (219) 364-3616

880 Eastport Centre Dr
Ste 200
Valparaiso, IN 46383
Phone (219) 462-0909

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1902145394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1024",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463841024",
            "telephone_number": "219-462-0909",
            "fax_number": "219-462-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E US HIGHWAY 6",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838947",
            "telephone_number": "219-462-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 Eastport Centre Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463832906",
            "country_code": "US",
            "telephone_number": "219-462-7267",
            "fax_number": "219-462-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIMA BELLA WOMEN'S HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_middle_name": "MEYER",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "219-462-0909",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IN",
            "license": "68000075A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201168900A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.