NPIMap

Organization Active NPI

Imprint Pediatric Therapy LLC.

  • Behavior Analyst
  • Nashville, IN
National Provider Identifier
1902371396
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
IMPRINT PEDIATRIC THERAPY LLC.
Practice address
169 Hilltop LN
Nashville, IN 47448-7102
Phone
(812) 606-0683
NPI assigned
Oct 11, 2018
Last updated
Oct 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Authorized official

Name
Mrs. Shawn Elise SteenNPI 1386370468
Title
Owner
Phone
(812) 606-0683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

169 Hilltop LN
Nashville, IN 47448-7102

Mailing address

169 Hilltop LN
Nashville, IN 47448-7102

National Provider Directory

National Provider Directory

Locations

2600 Sandcrest Blvd
Columbus, IN 47203
Phone (812) 413-9321

315 Washington St
Columbus, IN 47201
Phone (812) 413-9321

1501 W Tipton St
Seymour, IN 47274
Phone (812) 413-9321

Practitioners & affiliated clinicians

Practitioners 157

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 157

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1902371396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 HILLTOP LN",
            "city": "NASHVILLE",
            "state": "IN",
            "postal_code": "474487102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 HILLTOP LN",
            "city": "NASHVILLE",
            "state": "IN",
            "postal_code": "474487102",
            "telephone_number": "812-606-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPRINT PEDIATRIC THERAPY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "STEEN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-606-0683",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.