HOLISTIC MEDICAL AND WELLNESS CENTER OF IN, LLC (NPI# 1336478890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336478890 |
Entity Type | Organization |
Organization Name | HOLISTIC MEDICAL AND WELLNESS CENTER OF IN, LLC |
Practice Address |
8424 Naab Rd Suite 3p Indianapolis IN 46260-5918 |
Practice Telephone | 3176086090 |
Practice Fax Number | 3176086095 |
Mailing Telephone | 3176086090 |
Mailing Fax Number | 3176086095 |
Enumeration Date | 2009-12-12 |
Last Update Date | 2009-12-12 |
Authorized Official Name | MRS. RANDEE L MILLER (NURSE PRACTITIONER/OWNER) |
Authorized Official Telephone | 3176086090 |
Authorized Official Credential | MSN APRN BC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
71001160B | IN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200840870 | 05 |
Street Address |
8424 NAAB RD SUITE 3P |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46260-5918 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881699296 | Nikhil Mulji Patel | Colon & Rectal Surgery | 8424 Naab Rd, Ste 2m, Indianapolis, IN 46260-1966 | 2005-06-14 |
1194078469 | Lisa Renee Schoenrock | Nurse Anesthetist, Certified Registered | 8424 Naab Rd, Suite 3 J, Indianapolis, IN 46260-5918 | 2012-10-23 |
1679731046 | Spencer Allison Wilson | Internal Medicine | 8424 Naab Rd, Suite 3j, Indianapolis, IN 46260-5918 | 2008-06-01 |
1356533996 | Adult Medicine Center | Internal Medicine | 8424 Naab Rd, Suite 3p, Indianapolis, IN 46260-5918 | 2007-08-17 |
1508901034 | Oldrich J Kolar, Md PC | Psychiatry & Neurology | 8424 Naab Rd, Suite 1a, Indianapolis, IN 46260-5918 | 2007-02-21 |
1437204625 | David Homer Kingsbury | Dermatology | 8424 Naab Rd, Suite 2b, Indianapolis, IN 46260-1966 | 2007-01-25 |
1114087749 | Michelle Leigh Myers | Nurse Practitioner | 8424 Naab Rd, Suite 2j, Indianapolis, IN 46260-5918 | 2006-12-12 |
1205914660 | Karen D Rodman | Psychiatry & Neurology | 8424 Naab Rd, Suite 1a, Indianapolis, IN 46260-5918 | 2006-11-02 |
1073605184 | John L George, Md | Surgery | 8424 Naab Rd, Suite #2f, Indianapolis, IN 46260-5918 | 2006-09-28 |
1720180771 | Oldrich Jan Kolar | Psychiatry & Neurology | 8424 Naab Rd, Suite 1a, Indianapolis, IN 46260-5918 | 2006-09-01 |
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1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
Find all providers in zip 46260 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1033777370 | Prime Movement Healthcare | Clinic/Center | 55 Monument Cir Fl 7, Indianapolis, IN 46204-2910 | 2019-06-02 |
1720646235 | Pmr Healthcare | Clinic/Center | 6404 Turner Dr Ste 100, Indianapolis, IN 46241-4906 | 2019-05-30 |
1598231896 | Ourhealth Physician Group, LLC | Clinic/Center | 3308 N Mitthoefer Rd, Indianapolis, IN 46235-2332 | 2018-10-15 |
1548743552 | Wellness for Life | Clinic/Center | 6448 W Ohio St, Indianapolis, IN 46214-3973 | 2018-09-14 |
1467970269 | Activate Healthcare - Mep Clinic | Clinic/Center | 2350 N Shadeland Ave, Indianapolis, IN 46219-1736 | 2017-09-01 |
1386190254 | Ourhealth Physicians Group, LLC | Clinic/Center | 5630 W 86th St, Suite 150, Indianapolis, IN 46278-2017 | 2016-08-30 |
1366995482 | Ourhealth Physicians Group, LLC | Clinic/Center | 4161 E 96th St, Suite 100, Indianapolis, IN 46240-1442 | 2016-07-25 |
1508319625 | Ourhealth Physicians Group, LLC | Clinic/Center | 155 W Washington St, Suite 155, Indianapolis, IN 46204-3483 | 2016-07-25 |
1154774412 | American Health Network of Indiana LLC | Clinic/Center | 2432 Southeastern Ave, Indianapolis, IN 46201-4161 | 2016-07-21 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46260 |
Please comment or provide details below to improve the information on HOLISTIC MEDICAL AND WELLNESS CENTER OF IN, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.