Iris Ketamine & Infusions, LLC
NPI 1598533986ActiveOrganization· Nurse Practitioner· Fort Wayne, IN
Nurse Practitioner in Fort Wayne, Indiana, registered in NPPES in December 2023. The authorized official on file is Sean Goddard, NP, Owner.
Overview
| NPI | 1598533986 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2023 |
| Last updated in NPPES | Dec 14, 2023 |
| Certified by provider | Dec 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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