Andrea Phelps

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

24-017159-1 Issued in IN

Practice address

2054 Coldwater CT
Indianapolis, IN 46239-8702

Phone

(317) 679-1336

NPI assigned

May 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Circle City Companions LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
  • NPI 1003639279
  NPD Authorized official

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1932949427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 COLDWATER CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462398702",
            "telephone_number": "317-679-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 COLDWATER CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462398702",
            "telephone_number": "317-679-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "IN",
            "license": "24-017159-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL SERVICES AGENCY LICENSE",
            "identifier": "24-017159-1",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pharmaraj Pharmacy Services
• Pharmscript of in LLC
• PHD Mentoring Services, LLC
• Nicholas Glen Phebus, O.D.
• Aaron Phelan
• James M Phelps Jr., MD
• Janet R Phelps, MASSAGE THERAPIST
• Jennifer Diane Phelps, OT
• John Russell Phelps III, D.D.S., M.S.D.
• Keely R Phelps, PA-C

• Adult Companion in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Adult Companion in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.