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INNOVATIVE MEDICINE
NPI 1417486523
Family Medicine - Addiction Medicine in Lafayette, IN

Active since June 12, 2017
3554 PROMENADE PKWY STE H, LAFAYETTE, IN 47909(765) 471-1100(765) 471-1009 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2024, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Innovative Medicine NPPES

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

INNOVATIVE MEDICINE (NPI 1417486523) is a healthcare organization registered as an addiction medicine in Lafayette, Indiana and active in the NPI registry since June 2017. The organization lists Jacqueline Snyder, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1417486523
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameINNOVATIVE MEDICINE
Location Address3554 PROMENADE PKWY STE HLafayette, IN 47909-8418
Mailing Address3554 Promenade Pkwy Ste HLafayette, IN 47909-8418 · (765) 471-1100 · Fax (765) 471-1009
Phone(765) 471-1100
Fax(765) 471-1009
Organization SubpartNo
Authorized OfficialJacqueline SnyderBilling Manager · (765) 413-7100
Enumeration DateJune 12, 2017
Last NPPES UpdateApril 18, 20245 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1417486523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
3554 PROMENADE PKWY STE H, Lafayette, IN 47909
Open in Google Maps ↗

Other Identifiers 2

Other1720219702IN · Melissa Galbreth Lmhc
Other1144372863IN · Robert Charles Turner Md

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

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

MELISSA GALBRETH LMHC
Counselor (Mental Health)
3554 PROMENADE PKWY STE H
LAFAYETTE, IN 47909
Tippecanoe County (765) 471-1100

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 Innovative Medicine's NPI number?

The NPI number for Innovative Medicine is 1417486523. It was assigned to this organization in the NPPES registry on June 12, 2017.

Where is Innovative Medicine located?

Innovative Medicine is located at 3554 Promenade Pkwy Ste H, Lafayette, IN 47909. The listed phone number is (765) 471-1100.

What is Innovative Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Innovative Medicine was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.