DEDICATED FAMILY HEALTH (NPI# 1144797986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144797986 |
Entity Type | Organization |
Organization Name | DEDICATED FAMILY HEALTH |
Practice Address |
117 N Main St Hebron IN 46341-8971 |
Practice Telephone | 2195093383 |
Practice Fax Number | 2195093389 |
Mailing Telephone | 2195093383 |
Mailing Fax Number | 2195093389 |
Enumeration Date | 2018-10-30 |
Last Update Date | 2019-04-16 |
Authorized Official Name | COLETTE H WALTER (NP, CEO) |
Authorized Official Telephone | 2195093383 |
Authorized Official Credential | NP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | NPI 2 | 1144797986 | 01 |
IN | 201180370 | 05 |
Street Address |
117 N MAIN ST |
City | HEBRON |
State | IN |
Zip Code | 46341-8971 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851733513 | Colette H Walter | Nurse Practitioner | 117 N Main St, Hebron, IN 46341-8971 | 2013-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023352895 | Judy Lynn Sholes | Physical Therapy Assistant | 14020 North County Line Road, Hebron, IN 46341 | 2012-11-19 |
1104175702 | Lowell Dentistry, P.C. | Dentist | 195 Deanna Dr., Lowell, IN 46341-2402 | 2012-08-29 |
1871909473 | Helen Kilburg | Social Worker | 114 Wenatchee Pl, Hebron, IN 46341-7204 | 2014-07-03 |
1720387533 | Erma J Galvin | Social Worker | 104 W Church St, Hebron, IN 46341-8558 | 2011-03-18 |
1699890103 | Robert W Moses Od Professional Corp. | Eyewear Supplier (Equipment, not the service) | 618 N Main St, Suite A, Hebron, IN 46341-8710 | 2007-03-21 |
1689698292 | Carla K Brink | Dentist | 56 Nichols St, Hebron, IN 46341-8774 | 2006-07-27 |
1134124118 | Select Medical Rehabilitation Clinics Inc | Clinic/Center | 50 Nichols St, Hebron, IN 46341-8774 | 2005-06-16 |
1528674942 | Rci (wrs), LLC. | Clinic/Center | 50 Nichols St, Hebron, IN 46341-8774 | 2020-09-21 |
1326571027 | Carla K. Brink, D.d.s., P.C. | Dentist | 56 Nichols St, Hebron, IN 46341-8774 | 2017-04-10 |
1942632906 | Katelyn Stahley | Physical Therapist | 50 Nichols St, Hebron, IN 46341-8774 | 2013-08-01 |
Find all providers in zip 46341 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457967978 | Suzanne Perkins | Nurse Practitioner | 1988 Montpelier Dr, Hebron, KY 41048-1101 | 2020-09-21 |
1902422710 | Lindsay Jean Humpfer | Nurse Practitioner | 915 S 250 W, Hebron, IN 46341-8859 | 2020-06-18 |
1760896070 | Valarie Langel | Nurse Practitioner | 8150 Gale Rd Sw, Hebron, OH 43025-9587 | 2014-06-13 |
1992312623 | Sharon Michele Knueven | Nurse Practitioner | 3105 N Bend Rd, Hebron, KY 41048-8523 | 2020-09-27 |
1184109324 | Jarie Sones | Nurse Practitioner | 120 Park Ave, Hebron, NE 68370-2019 | 2018-10-02 |
1669977062 | Jodi Williams | Nurse Practitioner | 3105 N Bend Rd, Hebron, KY 41048-8523 | 2018-03-27 |
1679966980 | Kiosk Medicine of Kentucky LLC | Nurse Practitioner | 3105 N Bend Rd, Hebron, KY 41048-8523 | 2015-03-11 |
1801210703 | Andrea R Keller | Nurse Practitioner | 3105 N Bend Rd, Hebron, KY 41048-8523 | 2014-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
1578162459 | Kourtney Marie Terry | Nurse Practitioner | 128 Miner Rd, Avilla, IN 46710-9690 | 2020-10-21 |
1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
1730788720 | Camille Mae Carl | Nurse Practitioner | 6441 Anna Louise Dr, Charlestown, IN 47111-8797 | 2020-10-20 |
1124626585 | Dustin Mikesell | Nurse Practitioner | 1000 E Main St Ste 104, Danville, IN 46122-1948 | 2020-10-16 |
1144828799 | Mina Desai-patel | Nurse Practitioner | 14698 Drayton Dr, Noblesville, IN 46062-8230 | 2020-10-15 |
1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
1023616125 | Kimberly Dawn Calloway | Nurse Practitioner | 5306 E Blocher Rd, Lexington, IN 47138-8803 | 2020-10-12 |
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.