Innovative Medicine
NPI 1417486523 · Addiction Medicine (Family Medicine) Physician · Lafayette, IN
Innovative Medicine is a Addiction Medicine (Family Medicine) Physician organization in Lafayette, IN (NPI 1417486523).
Provider details
- NPI number
- 1417486523
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacqueline Snyder, Billing Manager(765) 413-7100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Non-Pharmacy Dispensing Site332900000X
Suppliers
- Adult Medicine Physician207QA0505X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-06-12
- Last updated
- 2024-04-18
- Certified
- 2024-04-18
Frequently asked questions
- What is Innovative Medicine's NPI number?
- Innovative Medicine's National Provider Identifier (NPI) is 1417486523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Medicine?
- Innovative Medicine is classified in the NPPES registry as Addiction Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Innovative Medicine located?
- Innovative Medicine's practice location on file with NPPES is 3554 Promenade Pkwy Ste H, Lafayette, IN 47909-8418.
- What is Innovative Medicine's phone number?
- The practice phone number listed in the NPPES registry for Innovative Medicine is (765) 471-1100.
- Who is the authorized official for Innovative Medicine?
- The authorized official listed on Innovative Medicine's NPPES record is Jacqueline Snyder, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Medicine's NPI active?
- Yes — Innovative Medicine's NPI (1417486523) is active in the NPPES registry as of the last update on 2024-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.