NPIMap

Organization Active NPI

Nannette Kay Acra, P.T.,Professional Corporation

  • Early Intervention Provider Agency
  • Spencerville, IN
National Provider Identifier
1992951479
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
53000114A Issued in IN
Legal business name
NANNETTE KAY ACRA, P.T.,PROFESSIONAL CORPORATION
Practice address
17718 N State Road 1
Spencerville, IN 46788-9623
Phone
(260) 494-5957
Fax
(260) 238-4992
NPI assigned
Aug 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Mrs. Nannette Kay Acra, BS IN P.T.
Title
President
Phone
(260) 494-5957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 53000114A IN Primary

Addresses

Primary practice location

17718 N State Road 1
Spencerville, IN 46788-9623

Mailing address

17718 N State Road 1
Spencerville, IN 46788-9623
Phone (260) 494-5957

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1992951479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17718 N STATE ROAD 1",
            "city": "SPENCERVILLE",
            "state": "IN",
            "postal_code": "467889623",
            "telephone_number": "260-494-5957",
            "fax_number": "260-238-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17718 N STATE ROAD 1",
            "city": "SPENCERVILLE",
            "state": "IN",
            "postal_code": "467889623",
            "telephone_number": "260-494-5957",
            "fax_number": "260-238-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANNETTE KAY ACRA, P.T.,PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "ACRA",
        "authorized_official_first_name": "NANNETTE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-494-5957",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS IN P.T."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IN",
            "license": "53000114A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencerville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.