TABITHA A SHULTS (NPI# 1144608605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144608605 |
| Entity Type | Individual |
| Full Name | TABITHA A SHULTS |
| Credential | NP |
| Practice Address |
520 Mary St Ste 340 Evansville IN 47710 |
| Mailing Address |
Po Box 1510 Evansville IN 47706-1510 |
| Practice Telephone | 8124503201 |
| Practice Fax Number | 8124503395 |
| Mailing Telephone | 8124503201 |
| Mailing Fax Number | 8124503395 |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 3011812 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 71005837A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
520 MARY ST STE 340 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639120728 | Mary Lynn Markham | Nurse Practitioner | 520 Mary St Ste 340, Evansville, IN 47710 | 2006-05-13 |
| 1427663079 | Deaconess Hospital, Inc. | Psychologist | 520 Mary St Ste 340, Evansville, IN 47710-1679 | 2020-09-10 |
| 1174180582 | Tracie R Loehr | Nurse Practitioner | 520 Mary St Ste 340, Evansville, IN 47710-1679 | 2019-05-21 |
| 1093370983 | Cayla D Darnell | Nurse Practitioner | 520 Mary St Ste 340, Evansville, IN 47710-1679 | 2019-05-06 |
| 1194206789 | Deborah L Tapp | Nurse Practitioner | 520 Mary St Ste 340, Evansville, IN 47710-1679 | 2018-08-22 |
| 1558625434 | Anna Kathryn Dauer | Internal Medicine | 520 Mary St Ste 340, Evansville, IN 47710-1679 | 2012-06-26 |
| 1770842460 | Jung Wook Kang Smith | Family Medicine | 520 Mary St Ste 340, Evansville, IN 47710-1679 | 2012-05-15 |
| 1285936377 | Lisa Michelle Isaacs | Nurse Practitioner | 520 Mary St Ste 340, Evansville, IN 47710-1679 | 2010-11-23 |
| 1972813780 | Shauntrece C Deters | Nurse Practitioner | 520 Mary St Ste 340, Evansville, IN 47710 | 2010-10-14 |
| 1164465183 | Rita M Winters | Nurse Practitioner | 520 Mary St Ste 340, Evansville, IN 47710 | 2006-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| Find all providers in zip 47710 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213607 | Medihealth Primary Care LLC | Nurse Practitioner | 2345 W Franklin St Ste 102, Evansville, IN 47712-5100 | 2020-10-23 |
| 1285240390 | Amy D Perry | Nurse Practitioner | 728 N Cross Pointe Blvd # 102, Evansville, IN 47715-9163 | 2020-09-23 |
| 1255987335 | Laura Suzanne Alexander | Nurse Practitioner | 445 N Cross Pointe Blvd Ste 330, Evansville, IN 47715-4013 | 2019-08-14 |
| 1013577386 | Chelsea Miles | Nurse Practitioner | 958c S Kenmore Dr, Evansville, IN 47714-7513 | 2019-06-18 |
| 1346715539 | Mercy Urgent Care 2 LLC | Nurse Practitioner | 2101 N Green River Rd Ste 1, Evansville, IN 47715-1911 | 2018-10-04 |
| 1437639119 | Deaconess Clinic, Inc. | Nurse Practitioner | 2100 N Fulton Ave, Evansville, IN 47710-2842 | 2018-08-21 |
| 1649750514 | Deaconess Clinic, Inc. | Nurse Practitioner | 2000 Lodge Ave, Evansville, IN 47714-4261 | 2018-08-20 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1306395439 | Virginia Latouche | Nurse Practitioner | 7307 E Columbia St Ste 101, Evansville, IN 47715-9141 | 2016-09-30 |
| 1144622572 | Erin Brooke Georges | Nurse Practitioner | 4949 Healthy Way Ste A, Evansville, IN 47715-1180 | 2014-09-17 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
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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.