Active NPI
Shvonne Watson
- Clinical Medical Laboratory
- Indianapolis, IN
National Provider Identifier
1922710573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Practice address
- 3008 E 56TH St Ste B
Indianapolis, IN 46220-2946 - Phone
- (317) 213-7975
- NPI assigned
- Dec 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
3008 E 56TH St Ste B
Indianapolis, IN 46220-2946
Mailing address
3008 E 56TH St Ste B
Indianapolis, IN 46220-2946
Phone (317) 213-7975
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 11348.axiscare.com | Health Information Exchange (HIE) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Care Access Inc | Current | Accepting new patients | |
| Care Access Group, Inc | Current | Accepting new patients | |
| Care Access Group, Inc-Waiver Services | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- In Home Supportive Care Agency
- Indianapolis, IN
- NPI 1598335051
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Indianapolis, IN
- NPI 1902547136
-
- Home Health Registered Nurse
- Indianapolis, IN
- NPI 1598599631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1922710573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3008 E 56TH ST STE B",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462202946",
"telephone_number": "317-213-7975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3008 E 56TH ST STE B",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462202946",
"telephone_number": "317-213-7975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "SHVONNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-14",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "11348.axiscare.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3008 E 56th St Ste B",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462202946",
"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 Dec 14, 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.