JASON SOULTZ


Address: 1330 W Southport Rd, Indianapolis, IN 46217
Phone: 3178844256

JASON SOULTZ (NPI# 1669955449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669955449
Entity Type Individual
Full Name JASON SOULTZ
Credential NP-C
Practice Address 1330 W Southport Rd
Indianapolis
IN 46217
Mailing Address 2620 Elm Hill Pike
Nashville
TN 37214-3100
Practice Telephone 3178844256
Mailing Telephone 7655170814
Enumeration Date 2018-09-08
Last Update Date 2018-12-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
71008585A IN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1330 W Southport Rd, Indianapolis, IN 46217 3178844256

Office Location

Street Address 1330 W SOUTHPORT RD
City INDIANAPOLIS
State IN
Zip Code 46217

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710050232 Kroger Limited Partnership I Pharmacy 1330 W Southport Rd, Indianapolis, IN 46217-5301 2006-11-15
1669010245 Angela Singh Pharmacist 1330 W Southport Rd, Indianapolis, IN 46217-5301 2019-12-14
1013553114 Jacob Pollard Pharmacist 1330 W Southport Rd, Indianapolis, IN 46217-5301 2019-11-23
1316596950 Aliscia Pace Nurse Practitioner 1330 W Southport Rd, Indianapolis, IN 46217-5301 2019-09-06
1699253583 Ashley Elizabeth Smith Nurse Practitioner 1330 W Southport Rd, Indianapolis, IN 46217-5301 2018-08-01
1164807418 Megan Boas Pharmacist 1330 W Southport Rd, Indianapolis, IN 46217-5301 2015-07-28
1154722684 Kristina Lynne Place Nurse Practitioner 1330 W Southport Rd, Indianapolis, IN 46217-5301 2014-09-16
1649400896 Nakeeta Stansberry Nurse Practitioner 1330 W Southport Rd, Indianapolis, IN 46217 2009-07-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992318158 Maria Yvette Borden Student in an Organized Health Care Education/Training Program University of Indianapolis, Health Pavilion 253, Indianapolis, IN 46217 2020-08-27
1457900375 Kara Combs Technician 8737 Winding Ridge Rd, Indianapolis, IN 46217 2019-09-04
1750789459 Stephanie Johnson Specialist/Technologist 8542 Gallant Fox Dr., Indianapolis, IN 46217 2014-12-11
1336480623 Lauren Marie Carter Nurse Practitioner 8970 S Meridian St., Indianapolis, IN 46217 2013-03-12
1912175662 Staci L Vanzant Social Worker 8820 N Meridian St, Ste 225, Indianapolis, IN 46217 2008-02-15
1568684934 Lifetime Dental Care of Indiana, PC Dentist 8923 South Meridian Street, Suite B, Indianapolis, IN 46217 2007-05-03
1912093659 Anna Marie Heidenreich Pharmacist 8820 S Meridian #105, Indianapolis, IN 46217 2006-10-04
1316083652 Linnea J. Nelson Family Medicine 6925 S Harding St, Suite B-1, Indianapolis, IN 46217 2007-01-30
1902343346 Count On Me Senior Care Preferred Provider Organization 359 Creekbend Ln, Indianapolis, IN 46217-2720 2017-01-24
1780837765 Medex, Inc. Durable Medical Equipment & Medical Supplies 5640 S Meridian St Ste B1, Indianapolis, IN 46217-2761 2008-11-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1922614965 Children Express Care Clinic LLC Nurse Practitioner 5435 Emerson Way Ste 110, Indianapolis, IN 46226-1470 2020-09-16
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
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Competitor

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City INDIANAPOLIS
Zip Code 46217

Improve Information

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Dataset Information

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.

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