Active NPI
Indiana Suburban Visiting Physician Services
- Primary Care Nurse Practitioner
- Valparaiso, IN
National Provider Identifier
1942809140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 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 DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Matteson, IL
- NPI 1508425737
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.