Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Bertha Arnett

Physician β€’ Gary, IN

Deactivated NPI 1588073134 Deactivated in NPPES Female Practitioner
Practice location in NPPES

1100 W 6th Ave
Gary, IN 464021711

Phone: 2198854264

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of March 20, 2017; the reason is not published. The records below are historical. They do not show whether Bertha Arnett currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date August 07, 2014
NPI Deactivation Date March 20, 2017
NPI Active Period 2014 – 2017

Practice Location & Contact Primary Location

Practice Address

1100 W 6th Ave

Gary, IN 464021711

Telephone 2198854264
Organization at the Same NPPES Address or Phone
Edgewater Systems For Balanced Living, Inc. Facility NPI 1588705784

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Gary and Indiana

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Community Based Residential Treatment Facility, Mental Illness Primary Specialty

NUCC Taxonomy Code: 320800000X

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Laresse Harris , APRN, FNP-C

Nurse Practitioner - Family

NPI 1013516939

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Akeem Kareem

Nurse Practitioner - Family

NPI 1124566427

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated March 20, 2017

NPPES lists this NPI as deactivated as of March 20, 2017; the reason is not published.

βœ…
NPI Profile Active August 07, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 07, 2014

Registered at 1100 W 6TH AVE, GARY, IN 464021711 (Tel: 2198854264)

πŸ“
Business Mailing Address (Initial Record) August 07, 2014

Registered at 1100 W 6TH AVE, GARY, IN 464021711 (Tel: 2198854264)

πŸ‘€
Provider Name / Credentials (Initial Record) August 07, 2014

Recorded as BERTHA ARNETT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2014

Community Based Residential Treatment Facility, Mental Illness

🟒
Initial NPI Registration & Enumeration August 07, 2014

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1588073134
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2014
Last Update: August 07, 2014
Deactivation Date: March 20, 2017

Mailing Address

1100 W 6th Ave

Gary, IN 464021711

Phone: 2198854264

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.