Admiral Medical Diabetic Education, Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ADMIRAL MEDICAL DIABETIC EDUCATION, INC

Doing business as

A1c Care Center Group
A1c Diabetic Education

Practice address

6330 E 75TH St Ste 148
Indianapolis, IN 46250-2717

Phone

(317) 537-9522

Fax

(317) 219-0550

NPI assigned

May 23, 2012

Last updated

Jul 17, 2024By 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

Dr. Richard Graves

Title

Gen MGR

Phone

(317) 828-7517

Specialties & licenses 1

Addresses

Other names 2

• A1c Care Center Group Doing business as
• A1c Diabetic Education Doing business as

Locations

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1992065924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 E 75TH ST STE 148",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502717",
            "telephone_number": "317-537-9522",
            "fax_number": "317-545-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 E 75TH ST STE 148",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502717",
            "telephone_number": "317-537-9522",
            "fax_number": "317-219-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADMIRAL MEDICAL DIABETIC EDUCATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2024-07-17",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "GEN MGR",
        "authorized_official_telephone_number": "317-828-7517",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A1c Care Center Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A1c Diabetic Education",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine M Adlam, DO
• Brooke Emmons Adler, DDS
• Robert George Adler II, PHARMD
• Adm Mobility Solutions, Inc. (Mobility Solutions)
• Admiral Medical Center, Inc (Professional Diabetes Care Center)
• Admiral Medical Supply
• Admiral Medical Supply Inc.
• Admiral Medical Supply, Inc
• Admiral Medical Supply, Inc
• Admire ABA in LLC

• Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.