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IRIS KETAMINE & INFUSIONS, LLC
NPI 1598533986
Nurse Practitioner in Fort Wayne, IN

Active since December 14, 2023
9025 COLDWATER RD STE 200, FORT WAYNE, IN 46825(866) 218-5620(260) 888-2322 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Iris Ketamine & Infusions, Llc NPPES

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

IRIS KETAMINE & INFUSIONS, LLC (NPI 1598533986) is a healthcare organization registered as a nurse practitioner in Fort Wayne, Indiana and active in the NPI registry since December 2023. The organization lists Sean Goddard, Owner, as its authorized official.

NPPES Registry Identity

NPI1598533986
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameIRIS KETAMINE & INFUSIONS, LLC
Location Address9025 COLDWATER RD STE 200Fort Wayne, IN 46825-2097
Mailing Address9025 Coldwater Rd Ste 200Fort Wayne, IN 46825-2097 · (866) 218-5620 · Fax (260) 888-2322
Phone(866) 218-5620
Fax(260) 888-2322
Organization SubpartNo
Authorized OfficialSean GoddardOwner · (866) 218-5620
Enumeration DateDecember 14, 2023
NPPES CertifiedDecember 14, 2023
✔ NPI 1598533986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
9025 COLDWATER RD STE 200, Fort Wayne, IN 46825
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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

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

GODDARD MEDICAL SERVICES LLC
Nurse Practitioner (Psychiatric/Mental Health)
9025 COLDWATER RD STE 200
FORT WAYNE, IN 46825
Allen County (260) 459-9225

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 Iris Ketamine & Infusions, LLC's NPI number?

The NPI number for Iris Ketamine & Infusions, LLC is 1598533986. It was assigned to this organization in the NPPES registry on December 14, 2023.

Where is Iris Ketamine & Infusions, LLC located?

Iris Ketamine & Infusions, LLC is located at 9025 Coldwater Rd Ste 200, Fort Wayne, IN 46825. The listed phone number is (866) 218-5620.

What is Iris Ketamine & Infusions, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Iris Ketamine & Infusions, LLC was last updated on December 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.