KRISTIN DITTMER (NPI# 1134576044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134576044 |
| Entity Type | Individual |
| Full Name | KRISTIN DITTMER |
| Practice Address |
3774 Bayley Dr Suite A Lafayette IN 47905-8651 |
| Mailing Address |
Po Box 4699 Lafayette IN 47903-4699 |
| Practice Telephone | 7658078180 |
| Practice Fax Number | 7658078181 |
| Mailing Telephone | 7654492732 |
| Mailing Fax Number | 7654491196 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
37747 | IN | Nursing Service Providers |
| Street Address |
3774 BAYLEY DR SUITE A |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-8651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285615336 | Dana Y Stewart | Pediatrics | 3774 Bayley Dr, Ste B, Lafayette, IN 47905-8651 | 2005-11-07 |
| 1497280754 | Allison R Austin | Nurse Practitioner | 3774 Bayley Dr, Ste B, Lafayette, IN 47905-8651 | 2017-04-25 |
| 1184175093 | Unity Healthcare, LLC | Family Medicine | 3774 Bayley Dr, Suite A, Lafayette, IN 47905-8654 | 2016-10-17 |
| 1346615713 | Glenda Clossin | Registered Nurse | 3774 Bayley Dr, Ste A, Lafayette, IN 47905-8651 | 2015-12-10 |
| 1215301338 | Kristyn Zundo | Nurse Practitioner | 3774 Bayley Dr, Suite B, Lafayette, IN 47905-8651 | 2015-12-01 |
| 1679838189 | Unity Healthcare, LLC | Pediatrics | 3774 Bayley Dr, Suite B, Lafayette, IN 47905-8651 | 2012-07-10 |
| 1073899753 | Lafayette Womens Health | Obstetrics & Gynecology | 3774 Bayley Dr, Suite B, Lafayette, IN 47905-8651 | 2011-10-26 |
| 1528344207 | Womans Healthcare Associates PC | Obstetrics & Gynecology | 3774 Bayley Dr, Suite B, Lafayette, IN 47905-8651 | 2011-10-26 |
| 1821377052 | Jennifer M Johns | Specialist/Technologist, Other | 3774 Bayley Dr, Suite B, Lafayette, IN 47905-8651 | 2011-08-05 |
| 1750669230 | Karrie A Tarter | Nurse Practitioner | 3774 Bayley Dr, Suite B, Lafayette, IN 47905-8651 | 2011-08-01 |
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|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131906 | Jill S Price | Registered Nurse | 781 Stagecoach Dr, Lafayette, CO 80026-8711 | 2020-10-14 |
| 1124517065 | Lauren Decuir David | Registered Nurse | 600 Jefferson St Ste 900, Lafayette, LA 70501-8902 | 2018-05-07 |
| 1083903066 | Karen P Lavergne | Registered Nurse | 204 Indigo Dr, Lafayette, LA 70507-3137 | 2011-03-30 |
| 1346615713 | Glenda Clossin | Registered Nurse | 3774 Bayley Dr, Ste A, Lafayette, IN 47905-8651 | 2015-12-10 |
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| 1063022366 | Victoria Lee Golden | Registered Nurse | 1925 Tulip Ln, Munster, IN 46321-3241 | 2020-08-03 |
| 1922628494 | Crystal Morgan | Registered Nurse | 1625 W 93rd Ave, Crown Point, IN 46307-1803 | 2020-04-24 |
| 1356977813 | Courtnie Leeper | Registered Nurse | 8137 Menlo Court East Dr, Indianapolis, IN 46240-4717 | 2020-03-17 |
| 1154962793 | Haley Ann Shirley | Registered Nurse | 2705 N Lebanon St Ste 415, Lebanon, IN 46052-8621 | 2019-10-04 |
| 1578039160 | Sarah Lang | Registered Nurse | 13233 Harrison Dr, Carmel, IN 46033-8878 | 2018-10-22 |
| 1285155036 | Kathryn Jean Thomas | Registered Nurse | 9855 River Oak Ln N, Fishers, IN 46038-2131 | 2017-07-02 |
| 1790234458 | Ryan R Karim | Registered Nurse | 3816 Cooper Square Ct Apt 12204, Indianapolis, IN 46205-3250 | 2016-09-22 |
| 1225432149 | Lisa Lahey | Registered Nurse | 1826 N German Church Rd, Indianapolis, IN 46229-1914 | 2014-10-21 |
| 1407273634 | Mary Schroder | Registered Nurse | 7711 Old Highway 111, Memphis, IN 47143-9661 | 2014-03-26 |
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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.