Organization Active NPI

Emerald Care in

  • Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1982578902
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.