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MAPLE LEAF PAIN RELIEF
NPI 1114469277
Nurse Practitioner - Family in South Bend, IN

Active since November 07, 2016
908 E IRELAND RD, SOUTH BEND, IN 46614(214) 284-1420 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maple Leaf Pain Relief NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAPLE LEAF PAIN RELIEF (NPI 1114469277) is a healthcare organization registered as a family in South Bend, Indiana and active in the NPI registry since November 2016. The organization lists Shannon Roberts, Owner, as its authorized official.

NPPES Registry Identity

NPI1114469277
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMAPLE LEAF PAIN RELIEF
Location Address908 E IRELAND RDSouth Bend, IN 46614-2664
Mailing Address6628 Greenridge DrIndianapolis, IN 46278-1184
Phone(214) 284-1420
Organization SubpartNo
Authorized OfficialShannon RobertsOwner · (214) 284-1420
Enumeration DateNovember 7, 2016
✔ NPI 1114469277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
908 E IRELAND RD, South Bend, IN 46614
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANCED REHABILITATION CENTER
Chiropractor
908 E IRELAND RD
SOUTH BEND, IN 46614
St. Joseph County (574) 222-2886
ANDREW GOUL D.C.
Chiropractor
908 E IRELAND RD
SOUTH BEND, IN 46614
St. Joseph County (574) 222-2886

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maple Leaf Pain Relief's NPI number?

The NPI number for Maple Leaf Pain Relief is 1114469277. It was assigned to this organization in the NPPES registry on November 7, 2016.

Where is Maple Leaf Pain Relief located?

Maple Leaf Pain Relief is located at 908 E Ireland Rd, South Bend, IN 46614. The listed phone number is (214) 284-1420.

What is Maple Leaf Pain Relief's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Maple Leaf Pain Relief was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.