JESSICA D BODE (NPI# 1053958546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053958546 |
| Entity Type | Individual |
| Full Name | JESSICA D BODE |
| Other Name | JESSICA THACKER |
| Practice Address |
1130 Medical Arts Blvd Ste 250 Anderson IN 46011-3431 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 7652984282 |
| Practice Fax Number | 7652984989 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
28150756A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300035751 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417343575 | Jessica Bode | Emergency Medicine | 333 Madison St, Joliet, IL 60435-8200 | 2015-04-15 |
| 1437598372 | Jessica Farley Bode | Registered Nurse | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2013-06-24 |
| 1205175361 | Jessica Bode | Case Manager/Care Coordinator | 841 Jimmy Ann Dr, Daytona Beach, FL 32117-4583 | 2013-02-11 |
| Street Address |
1130 MEDICAL ARTS BLVD STE 250 |
| City | ANDERSON |
| State | IN |
| Zip Code | 46011-3431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750327532 | Bruce Alvin Darrow | Obstetrics & Gynecology | 1130 Medical Arts Blvd Ste 250, Anderson, IN 46011-3431 | 2006-06-21 |
| 1679008718 | Kelli Riley | Social Worker | 1130 Medical Arts Blvd Ste 250, Anderson, IN 46011-3431 | 2017-04-26 |
| 1962766824 | Nikia Beeson | Nurse Practitioner | 1130 Medical Arts Blvd Ste 250, Anderson, IN 46011-3431 | 2012-06-26 |
| 1275610271 | Raja Sekar Mittapalli | Obstetrics & Gynecology | 1130 Medical Arts Blvd Ste 250, Anderson, IN 46011-3431 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124662226 | Full Circle Family Solutions, LLC | Counselor | 909 Northwood Drive, Anderson, IN 46011 | 2019-10-31 |
| 1497186563 | Andrea C Rich | Social Worker | 1317 Winding Way, Anderson, IN 46011 | 2013-11-27 |
| 1093080848 | Franklin Keith Beeler | Family Medicine | 930 Summerlin Court, Anderson, IN 46011 | 2012-03-13 |
| 1063609642 | Christopher Place At Keystone Woods Associates, LLC | Assisted Living Facility | 2334 North Madison Ave, Anderson, IN 46011 | 2007-09-27 |
| 1720155187 | Garry L Smith Dds PC | Dentist | 1528 Medical Arts Blvd, Anderson, IN 46011 | 2006-11-29 |
| 1891711586 | Suzanne Obrien Beeson | Psychologist | 1210 Medical Arts. Blvd., Suite 208, Anderson, IN 46011 | 2006-07-14 |
| 1669471199 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1809 N Madison Ave, Anderson, IN 46011 | 2005-07-18 |
| 1265980742 | Andrew J Koehler | Counselor | 2010 Brentwood Dr, Anderson, IN 46011 | 2016-09-14 |
| 1902258866 | Audrey A. Dickerson | Physician Assistant | 1515 N Madison Ave, Anderson, IN 46011 | 2016-07-05 |
| 1104271790 | Mohammad Sami Bakdash | Internal Medicine | 1515 N Madison Ave, Anderson, IN 46011 | 2016-05-02 |
| Find all providers in zip 46011 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962766824 | Nikia Beeson | Nurse Practitioner | 1130 Medical Arts Blvd Ste 250, Anderson, IN 46011-3431 | 2012-06-26 |
| 1114220860 | Melissa A Matthews | Nurse Practitioner | 1130 Medical Arts Blvd, Suite 250, Anderson, IN 46011-3431 | 2010-12-17 |
| 1962686196 | Marilyn E Frazier | Nurse Practitioner | 141 W 22nd St Ste 309, Anderson, IN 46016-4389 | 2007-12-24 |
| 1447343512 | Delores Ann Long | Nurse Practitioner | 1515 N Madison Ave, Anderson, IN 46011-3453 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265077572 | Tara Lynette Flanagan | Nurse Practitioner | 2629 Waterfront Parkway East Dr Ste 375, Indianapolis, IN 46214-2026 | 2019-11-11 |
| 1184266827 | Bethany L. Odero | Nurse Practitioner | 550 University Blvd Ste 2041, Indianapolis, IN 46202-5149 | 2019-10-15 |
| 1487201166 | Bonnie Wellman | Nurse Practitioner | 1403 Allison Blvd, Auburn, IN 46706-3205 | 2019-08-19 |
| 1396285656 | Wendy K Carter | Nurse Practitioner | 720 Eskenazi Avenue, Suite F2-600, Eskenazi Health, Indianapolis, IN 46202 | 2017-03-06 |
| 1972042463 | Deborah Jean Dilk | Nurse Practitioner | 8067 N Oliver Ln, Dupont, IN 47231-9565 | 2017-02-16 |
| 1386183937 | Juanita Lock | Nurse Practitioner | 10051 N State Road 62, Canaan, IN 47224-9759 | 2017-02-15 |
| 1073975546 | Margaret Cockshott | Nurse Practitioner | 640 Eskenazi Ave, Fifth Third Bank Building, Indianapolis, IN 46202-5173 | 2016-03-24 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1699038430 | Aimee Leigh Anderson | Nurse Practitioner | 7120 Clearvista Dr Ste 3200, Indianapolis, IN 46256 | 2012-06-18 |
| 1104101047 | Amanda Jo Phelps | Nurse Practitioner | 4199 Gateway Blvd Ste 3500, Newburgh, IN 47630-7909 | 2011-10-11 |
| Find all providers with the same taxonomy | ||||
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| 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.