Unbound Treatment, Inc.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

UNBOUND TREATMENT, INC.

Practice address

601 N Shore Dr Ste 102
Jeffersonville, IN 47130-3144

Phone

(866) 286-2686

Fax

(855) 929-4545

NPI assigned

Feb 19, 2021

Last updated

Feb 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anna Whites

Title

Lawyer

Phone

(502) 352-2373

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David A Johnson, NP

  • Family Nurse Practitioner
  • Corydon, IN
  • NPI 1750788360
  NPD (past)
• Crystal Dawn Coleman, APRN

  • Family Nurse Practitioner
  • Hazard, KY
  • NPI 1427522028
  NPD (past)
• Nathan James Forker, APRN

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1285293548
  NPD (past)
• Linda McClain, MD

  • Obstetrics & Gynecology Physician
  • Louisville, KY
  • NPI 1891789905
  NPD (past)

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1952994055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 623",
            "city": "JAMESTOWN",
            "state": "KY",
            "postal_code": "426290623",
            "telephone_number": "866-286-2686",
            "fax_number": "855-929-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N SHORE DR STE 102",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303144",
            "telephone_number": "866-286-2686",
            "fax_number": "855-929-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNBOUND TREATMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "WHITES",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "LAWYER",
        "authorized_official_telephone_number": "502-352-2373"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Tucker
• James Patrick Tucker, MD
• Dianna Rose Tutt
• Alexey Tyler
• Jeremy Michael Tyree, PHARMD
• University Foot and Ankle Center LLC (Louisville Foot and Ankle Specialists)
• Uofl Health-Louisville Inc
• Utica Township Volunteer Fire Fighters Association (New Chapel EMS)
• Ana I Valdes Bencomo, APRN
• Denise Ann Vales

• Addiction Medicine (Family Medicine) Physician in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Addiction Medicine (Family Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.