DOROTHY BODUR (NPI# 1063019040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063019040 |
| Entity Type | Individual |
| Full Name | DOROTHY BODUR |
| Credential | NP |
| Practice Address |
6720 Parkdale Pl Indianapolis IN 46254-4668 |
| Mailing Address |
12687 White Chapel Cir Fishers IN 46037-7401 |
| Practice Telephone | 8127449200 |
| Mailing Telephone | 8123064478 |
| Enumeration Date | 2020-10-03 |
| Last Update Date | 2020-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
28227920A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6720 PARKDALE PL |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-4668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811337116 | Haven Behavioral Services of Indianapolis, LLC | Psychiatric Hospital | 6720 Parkdale Pl, Suite 100, Indianapolis, IN 46254-4668 | 2013-07-01 |
| 1023664406 | Jennifer Harmon-nary | Psychologist | 6720 Parkdale Pl, Indianapolis, IN 46254-4668 | 2019-08-12 |
| 1518520469 | Suleman Ajaz Janjua | Student in an Organized Health Care Education/Training Program | 6720 Parkdale Pl, Indianapolis, IN 46254-4668 | 2019-04-16 |
| 1578941191 | Neuropsychiatric Hospital of Indianapolis, LLC | Psychiatric Hospital | 6720 Parkdale Pl, Indianapolis, IN 46254-4668 | 2015-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444775 | Anu Abraham Ade Owofadeju | Nurse Practitioner | 8820 S Meridian St Ste 225, Indianapolis, IN 46217-6064 | 2020-07-21 |
| 1356959068 | Indy Behavioral Health LLC | Nurse Practitioner | 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069 | 2020-07-20 |
| 1376184556 | Carrie Mefford | Nurse Practitioner | 5435 E 16th St, Indianapolis, IN 46218-4869 | 2019-09-30 |
| 1124599394 | Adria Dawn Thornburgh | Nurse Practitioner | 6235 Forest View Dr, Indianapolis, IN 46260-4707 | 2018-12-16 |
| 1033693213 | Katie Marie Feeney | Nurse Practitioner | Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 | 2018-09-24 |
| 1912453937 | Andrew J Slaton | Nurse Practitioner | 1503 N Mitthoeffer Rd, Indianapolis, IN 46229-2425 | 2016-08-30 |
| 1528487659 | Elise S Montoya | Nurse Practitioner | 9106 North Meridian Street, Suite 100, Indianapolis, IN 46260 | 2014-04-16 |
| 1982046587 | Hillary A House | Nurse Practitioner | 2040 North Shadeland Ave, Ste 200, Indianapolis, IN 46219-1734 | 2013-07-24 |
| 1982936175 | Krista Schwuchow | Nurse Practitioner | 3403 E Raymond St, Indianapolis, IN 46203-4744 | 2010-02-12 |
| 1730265356 | Tammy Jo Bradford | Nurse Practitioner | 5251 S East St Ste 25b, Indianapolis, IN 46227-2061 | 2006-10-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
Please comment or provide details below to improve the information on DOROTHY BODUR.
| 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.