Active NPI
Alexander Michael Bakle, PMH-BC, RN
- Registered Nurse
- Indianapolis, IN
National Provider Identifier
1902529498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28234650A
- Practice address
- 7165 Clearvista Way
Indianapolis, IN 46256-4621 - Phone
- (317) 621-5100
- NPI assigned
- Sep 21, 2022
- Last updated
- Sep 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28234650A | IN | Primary |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 2020130842 | IN | |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 2020130842 | IN | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 2020130842 | IN | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 2020130842 | IN |
Addresses
Primary practice location
7165 Clearvista Way
Indianapolis, IN 46256-4621
Mailing address
2643 Addison Meadows LN
Indianapolis, IN 46203-6725
Phone (765) 543-5261
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abakle@ecommunity.com | Direct |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28234650A | IN | MD | Registered Nurse |
| 2020130842 | IN | MD | Psychiatric/Mental Health Registered Nurse |
Interoperability endpoints
- abakle@ecommunity.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1902529498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2643 ADDISON MEADOWS LN",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462036725",
"telephone_number": "765-543-5261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7165 CLEARVISTA WAY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564621",
"telephone_number": "317-621-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKLE",
"first_name": "ALEXANDER",
"middle_name": "MICHAEL",
"credential": "PMH-BC, RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28234650A",
"primary": true
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "2020130842",
"primary": false
},
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "IN",
"license": "2020130842",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "IN",
"license": "2020130842",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "IN",
"license": "2020130842",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abakle@ecommunity.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7165 Clearvista Way",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462564621",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.