Organization Active NPI

Care Access Clinic & Lab

Doing business as Care Access Clinical laboratory dba Care Access Clinic & Lab

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1942074646
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CARE ACCESS CLINIC & LAB
Doing business as
Care Access Clinical laboratory dba Care Access Clinic & Lab
Practice address
3008 E 56TH St Ste B
Indianapolis, IN 46220-2946
Phone
(317) 602-2333
Fax
(317) 754-0617
NPI assigned
Nov 13, 2023
Organization subpart
Yes
Parent organization
CARE ACCESS CLINICAL LABORATORYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Ms. Rhonda F Frais, FNPNPI 1811607740
Title
President
Phone
(317) 985-9335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X
Multi-Specialty Clinic/Center 261QM1300X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 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) 602-2333

Other names 1

  • Care Access Clinical laboratory dba Care Access Clinic & Lab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240417001261 IN Part B Supplier - Clinic/Group Practice 2961841481 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2229422Care Access Clinical Laboratory3008 E 56TH Street South Drive, Indianapolis, IN 46220Certificate of waiverJul 11, 2027

National Provider Directory

National Provider Directory
Part of
Care Access Clinical Laboratory

Locations

3008 E 56th St
#B
Indianapolis, IN 46220
Phone (317) 602-2333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1942074646",
    "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": "317-602-2333",
            "fax_number": "317-754-0617"
        },
        {
            "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": "317-602-2333",
            "fax_number": "317-754-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ACCESS CLINIC & LAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARE ACCESS CLINICAL LABORATORY",
        "enumeration_date": "2023-11-13",
        "last_updated": "2024-05-07",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "FRAIS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-985-9335",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Access Clinical laboratory dba Care Access Clinic & Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care Access Clinical laboratory dba Care Access Clinic & Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.