CHILDREN EXPRESS CARE CLINIC LLC (NPI# 1922614965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922614965 |
| Entity Type | Organization |
| Organization Name | CHILDREN EXPRESS CARE CLINIC LLC |
| Practice Address |
5435 Emerson Way Ste 110 Indianapolis IN 46226-1470 |
| Practice Telephone | 3173620293 |
| Practice Fax Number | 3176724145 |
| Mailing Telephone | 3173620293 |
| Mailing Fax Number | 3176724145 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | TAQUITA TOWNSEND (OWNER PROVIDER) |
| Authorized Official Telephone | 3173620293 |
| Authorized Official Credential | NP |
| Is Organization Subpart | Y |
| Parent Organization Name | - |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| CHILDREN EXPRESS CARE CLINIC | Doing Business As Name - Organization |
| Street Address |
5435 EMERSON WAY STE 110 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46226-1470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053771972 | Iman Emami Ghafari | Chiropractor | 4082 Pendelton Way, Indianapolis, IN 46226 | 2016-03-04 |
| 1649649039 | Tindley Accelerated Schools | Local Education Agency (LEA) | 4625 Arlington Avenue, Indianapolis, IN 46226 | 2015-09-16 |
| 1801146261 | Strength Renewed Counseling Services | Social Worker | 5660 Caito Drive, Suite 122, Indianapolis, IN 46226 | 2012-09-13 |
| 1114122447 | Monica Beasley | Nurse's Aide | 835 Belhaven Place Apt. #3, Indianapolis, IN 46226 | 2007-06-18 |
| 1558413682 | Denise Lynne Schnell | Nurse Practitioner | 5259 N David Street, Laurence Community Wellness Center, Indianapolis, IN 46226 | 2007-01-17 |
| 1245326792 | Lina R Ealy | Specialist | 5856 Cedarstone Court, Indianapolis, IN 46226 | 2006-10-04 |
| 1740373323 | Options Treatment Acquisition Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 5602 Caito Drive, Indianapolis, IN 46226 | 2006-10-02 |
| 1518064823 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 6975 North Pendleton Pike, Indianapolis, IN 46226 | 2006-09-20 |
| 1740383454 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 5005 E 56th St, Indianapolis, IN 46226 | 2006-09-07 |
| 1164516829 | The Health and Hospital Corporation of Marion County | Pharmacy | 3840 N Sherman Dr, Indianapolis, IN 46226 | 2006-10-03 |
| Find all providers in zip 46226 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1255956272 | Heather Nicole Zore | Nurse Practitioner | 9240 N Meridian St Ste 225, Indianapolis, IN 46260-1880 | 2020-06-15 |
| 1457976615 | Adam Weir | Nurse Practitioner | 960 E Washington St, Indianapolis, IN 46202-3981 | 2020-06-13 |
| 1457975740 | Ayee Teah Bleemie | Nurse Practitioner | 429 E Vermont St Ste 100, Indianapolis, IN 46202-3688 | 2020-06-02 |
| 1689294357 | May Josefa Ishikawa | Nurse Practitioner | 705 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5109 | 2020-04-22 |
| 1760001200 | John Shaver | Nurse Practitioner | 3750 N Meridian St Ste 100, Indianapolis, IN 46208-4300 | 2020-04-14 |
| 1851931000 | Robin L Petit | Nurse Practitioner | 6925 S Harding St Ste B-1, Indianapolis, IN 46217-4114 | 2020-01-15 |
| 1952941577 | Andreya Beckett | Nurse Practitioner | 3500 Depauw Blvd Ste 1041, Indianapolis, IN 46268-6125 | 2020-01-11 |
| 1053950105 | Shannon Malecki | Nurse Practitioner | 550 University Blvd Ste 5630, Indianapolis, IN 46202-5149 | 2020-01-06 |
| 1023651072 | Shawnta Crayton | Nurse Practitioner | 5401 S East St Ste 103, Indianapolis, IN 46227-2076 | 2019-10-22 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46226 |
Please comment or provide details below to improve the information on CHILDREN EXPRESS CARE CLINIC 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.