Active NPI
Emerald Care in
- Nurse Practitioner
- Jeffersonville, IN
National Provider Identifier
1982578902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- EMERALD CARE IN
- Practice address
- 202 E Maple St
Jeffersonville, IN 47130-3420 - Phone
- (812) 850-0619
- Fax
- (317) 458-1794
- NPI assigned
- Oct 2, 2025
- Last updated
- Oct 3, 2025
- 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
- Alex Henderson
- Title
- Owner/Authorized Official
- Phone
- (812) 850-0619
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Nurse Practitioner | 363L00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
202 E Maple St
Jeffersonville, IN 47130-3420
Mailing address
407 Malcolm Dr
Westminster, MD 21157-6107
Phone (812) 850-0619
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759449600000",
"number": "1982578902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 MALCOLM DR",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211576107",
"telephone_number": "812-850-0619",
"fax_number": "317-458-1794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 E MAPLE ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303420",
"telephone_number": "812-850-0619",
"fax_number": "317-458-1794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERALD CARE IN",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-02",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "812-850-0619"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.