Ivy Infusion Professional Nursing Services LLC

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

Legal business name

IVY INFUSION PROFESSIONAL NURSING SERVICES LLC

Practice address

9601 N Centennial Drive
3Rd Floor
Munster, IN 46321

Phone

(708) 858-0360

NPI assigned

Oct 9, 2025

Organization subpart

No

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

Authorized official

Name

Ashley Montgomery

Title

Registered Nurse/Director

Phone

(708) 858-0360

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1922973973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 N CENTENNIAL DRIVE",
            "address_2": "3RD FLOOR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 N CENTENNIAL DRIVE",
            "address_2": "3RD FLOOR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "708-858-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY INFUSION PROFESSIONAL NURSING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "REGISTERED NURSE/DIRECTOR",
        "authorized_official_telephone_number": "708-858-0360"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.