STEPHANIE L DAVITTO


Address: 1701 N Senate Blvd, Dg412, Indianapolis, IN 46202-1239
Phone: 3179623886

STEPHANIE L DAVITTO (NPI# 1053757047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053757047
Entity Type Individual
Full Name STEPHANIE L DAVITTO
Credential NP
Practice Address 1701 N Senate Blvd
Dg412
Indianapolis
IN 46202-1239
Mailing Address 250 N Shadeland Ave
Ste 130 Provider Enrollment
Indianapolis
IN 46219-4959
Practice Telephone 3179623886
Practice Fax Number 3179625492
Enumeration Date 2013-05-16
Last Update Date 2016-03-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 71004424A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 201163170 05

Office Location

Street Address 1701 N SENATE BLVD
DG412
City INDIANAPOLIS
State IN
Zip Code 46202-1239

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073501235 Lara Jane Pesavento Anesthesiology 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2005-10-12
1508475526 Wade Everett Oliver Nurse Practitioner 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2020-07-27
1538778600 Marleana Leann Groh Nurse Practitioner 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2020-07-24
1982225447 Saily Jacqueline Guerra Dietitian, Registered 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2020-05-06
1013538826 Paige Randolph Nurse Practitioner 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2020-05-04
1780213926 John Peacock Student in an Organized Health Care Education/Training Program 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2020-04-08
1295354462 Kylie J Miller Student in an Organized Health Care Education/Training Program 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2020-04-08
1962031492 Kristina Lynn Mathey Counselor 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2020-04-06
1023647674 Lindsay Nicole Troyer Student in an Organized Health Care Education/Training Program 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2020-04-06
1548894686 Courtney Leanne Kroes Social Worker 1701 N Senate Blvd, Indianapolis, IN 46202-1239 2020-02-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790386886 Sara Brooke Horn Registered Nurse 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 2020-11-04
1013521905 Zachary Camden Grimes Registered Nurse 720 Eskenazi Avenute, Indianapolis, IN 46202 2020-09-08
1790314045 Scott C Mitchell II Student in an Organized Health Care Education/Training Program Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 2020-04-07
1053940676 James Patrick Kelly Iv Student in an Organized Health Care Education/Training Program 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 2020-04-06
1124657697 Betsy Wilson Stevens Student in an Organized Health Care Education/Training Program 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 2020-04-06
1093340580 Brian T Edmonds Social Worker Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 2020-03-05
1326683210 Lindsay Nicole Rich Nurse Practitioner 1800 N Senate Ave, Indianapolis, IN 46202 2019-11-14
1427693670 Ronald Mcdonald House Charities of Central Indiana Voluntary or Charitable 435 Limestone Street, Indianaplois, IN 46202 2019-11-12
1790344760 Kirsten Denise Leaberry Student in an Organized Health Care Education/Training Program Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 2019-06-12
1679138093 Chris Olson Jr. Student in an Organized Health Care Education/Training Program 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 2019-05-02
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy 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.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881200152 Positive Energy Health Center LLC Nurse Practitioner 5023 E 56th St Ste 130, Indianapolis, IN 46226-1471 2020-09-21
1518591023 Nikki Maxey Nurse Practitioner 9302 N Meridian St Ste 235, Indianapolis, IN 46260-1337 2020-02-24
1639701584 Bindu Neupane Wagle Nurse Practitioner 1701 N Senate Ave # Ago69, Indianapolis, IN 46202-5306 2020-02-09
1649810912 Ashley Nicole Bilen Nurse Practitioner 8427 Coppel Ln, Indianapolis, IN 46259-1469 2020-01-14
1164063202 Katlyn Rader Nurse Practitioner 8333 Naab Rd Ste 420, Indianapolis, IN 46260-1992 2019-09-30
1609423680 Kari Tucker Nurse Practitioner 8435 Keystone Xing Ste 108, Indianapolis, IN 46240-4373 2019-08-23
1598320566 The Health and Hospital Corporation of Marion County Nurse Practitioner 9165 Otis Ave Ste 112, Indianapolis, IN 46216-2311 2019-05-06
1841855897 The Health and Hospital Corporation of Marion County Nurse Practitioner 6920 Parkdale Pl Ste 107, Indianapolis, IN 46254-5604 2019-05-06
1073178059 The Health and Hospital Corporation of Marion County Nurse Practitioner 2506 Willowbrook Pkwy Ste 299, Indianapolis, IN 46205-1548 2019-05-06
1215406699 Michele Dawn Cambridge Nurse Practitioner 7007 Graham Rd Ste 215, Indianapolis, IN 46220-4063 2018-11-15
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Competitor

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City INDIANAPOLIS
Zip Code 46202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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