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Innovative Medicine

Addiction Medicine (Family Medicine) Physician in Lafayette, IN · enumerated 2017 · authorized official Jacqueline Snyder, Billing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417486523

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Registry record

Entity type Organization (Type 2)
Legal business name Innovative Medicine
Practice address 3554 Promenade Pkwy Ste H, Lafayette, IN, 47909
Phone (765) 471-1100
Fax (765) 471-1009
Enumeration date Jun 12, 2017
Last updated in NPPES Apr 18, 2024

Taxonomy & classification

207QA0401X Addiction Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary
207QA0505X Adult Medicine Physician Allopathic & Osteopathic Physicians Secondary
207QB0002X Obesity Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary
332900000X Non-Pharmacy Dispensing Site Suppliers Secondary

Authorized official

Name Jacqueline Snyder
Title Billing Manager
Phone (765) 413-7100

Other identifiers

Identifier Type State Issuer
1720219702 Other IN MELISSA GALBRETH LMHC
1144372863 Other IN ROBERT CHARLES TURNER MD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Innovative Medicine?
Innovative Medicine is registered in NPPES as a Addiction Medicine (Family Medicine) Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-18.