Active NPI
Patient Care Services Team
- Gerontology Nurse Practitioner
- Noblesville, IN
National Provider Identifier
1962822106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- PATIENT CARE SERVICES TEAM
- Practice address
- 939 Conner St Ste 200
Noblesville, IN 46060-2622 - Phone
- (317) 219-7588
- NPI assigned
- Apr 25, 2014
- Last updated
- Aug 30, 2019
- 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
- Daniel Hollis
- Title
- Owner
- Phone
- (317) 744-5368
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | NU | Primary | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | NU | ||
| Primary Podiatric Medicine Podiatrist | 213EP1101X | NU |
Addresses
Primary practice location
939 Conner St Ste 200
Noblesville, IN 46060-2622
Mailing address
10505 Hawks Ridge CT
Fishers, IN 46037-9258
Phone (317) 730-4910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
939 Conner St
Ste 200
Noblesville, IN 46060
Phone (317) 219-7588
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Podiatrist
- Indianapolis, IN
- NPI 1285620732
-
- Family Nurse Practitioner
- Greenwood, IN
- NPI 1669871323
-
- Family Nurse Practitioner
- Indianapolis, IN
- NPI 1205067022
-
- Family Medicine Physician
- Danville, IN
- NPI 1801985700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567123200000",
"number": "1962822106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10505 HAWKS RIDGE CT",
"city": "FISHERS",
"state": "IN",
"postal_code": "460379258",
"telephone_number": "317-730-4910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 CONNER ST STE 200",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460602622",
"telephone_number": "317-219-7588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATIENT CARE SERVICES TEAM",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-25",
"last_updated": "2019-08-30",
"status": "A",
"authorized_official_last_name": "HOLLIS",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-744-5368"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.