Organization Active NPI

Indiana Suburban Visiting Physician Services

  • Primary Care Nurse Practitioner
  • Valparaiso, IN
National Provider Identifier
1942809140
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
INDIANA SUBURBAN VISITING PHYSICIAN SERVICES
Practice address
5 Washington St Ste 300
Valparaiso, IN 46383-4769
Phone
(312) 257-1747
NPI assigned
Oct 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Rachele Smith
Title
Manager
Phone
(513) 377-9374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

5 Washington St Ste 300
Valparaiso, IN 46383-4769

Mailing address

5 Washington St Ste 300
Valparaiso, IN 46383-4769
Phone (312) 257-1747

National Provider Directory

National Provider Directory

Locations

5 Washington St
Ste 300
Valparaiso, IN 46383
Phone (219) 730-7572

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": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1942809140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON ST STE 300",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834769",
            "telephone_number": "312-257-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON ST STE 300",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834769",
            "telephone_number": "312-257-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA SUBURBAN VISITING PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RACHELE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "513-377-9374"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.