Children Express Care Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CHILDREN EXPRESS CARE CLINIC LLC

Doing business as

Children Express Care Clinic

Practice address

5435 Emerson Way Ste 110
Indianapolis, IN 46226-1470

Phone

(317) 362-0293

Fax

(317) 672-4145

NPI assigned

Sep 16, 2020

Last updated

Oct 20, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

-As reported in NPPES

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

Authorized official

Name

Taquita Townsend, NP

Title

Owner Provider

Phone

(317) 362-0293

Specialties & licenses 2

Addresses

Other names 1

• CHILDREN EXPRESS CARE CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Part of

Children Express Care Clinic LLC

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22102/brand/1/csg/1/fhir/r4

Practitioners 5

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.

• Jasmine Nicole Howard

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1003602848
  Medicare reassignment Care Compare group NPD
• Taquita T Taylor, APRN, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1669966180
  Medicare reassignment Care Compare group NPD
• Koyah J Bleah, FNP-BC

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1861292948
  Medicare reassignment NPD
• Soe San, FNP-C

  • Family Nurse Practitioner
  • Lagrange, IN
  • NPI 1851152532
  NPD
• Keelie Madison Wagner, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Indianapolis, IN
  • NPI 1841075595
  NPD

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1922614965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 EMERSON WAY STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261470",
            "telephone_number": "317-362-0293",
            "fax_number": "317-672-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 EMERSON WAY STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261470",
            "telephone_number": "317-362-0293",
            "fax_number": "317-672-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN EXPRESS CARE CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "-",
        "enumeration_date": "2020-09-16",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "TAQUITA",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "317-362-0293",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHILDREN EXPRESS CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHILDREN EXPRESS CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon L Childers-Page, CNS
• Chad Emerson Childers, DO
• Donald Lee Childers, LCSW
• Jennifer May Childers, RN
• Lisa S Childers, MD
• Children's Bureau, Inc. (Firefly Children and Family Alliance)
• Children's Developmental Stepping Stones, LLC
• Children's Resource Group
• Children's Therapy Connection, Inc.
• Childrens Resource Group (CRG)

• Family Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.