BRIANA R WEIDLER-EDHOLM


Address: 211 N Eddy St, South Bend, IN 46617-3096
Phone: 5742391433

BRIANA R WEIDLER-EDHOLM (NPI# 1144882069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144882069
Entity Type Individual
Full Name BRIANA R WEIDLER-EDHOLM
Credential NP
Practice Address 211 N Eddy St
South Bend
IN 46617-3096
Practice Telephone 5742391433
Practice Fax Number 5742391438
Mailing Telephone 5742391433
Mailing Fax Number 5742391438
Enumeration Date 2019-07-01
Last Update Date 2019-07-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 28226873A IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 211 N EDDY ST
City SOUTH BEND
State IN
Zip Code 46617-3096

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073511598 Ron Clark Orthopaedic Surgery 211 N Eddy St, South Bend, IN 46617-2808 2005-07-08
1760082002 Nicole A Scheidler Nurse Practitioner 211 N Eddy St, South Bend, IN 46617-3096 2020-10-27
1205473451 Integrative Care Partners LLC Specialist 211 N Eddy St, South Bend, IN 46617-2808 2019-12-06
1861052029 Suzanne Marie Holmes Nurse Practitioner 211 N Eddy St, South Bend, IN 46617-3096 2019-06-19
1609436864 Philip D Dibert Nurse Practitioner 211 N Eddy St, South Bend, IN 46617-3096 2019-06-19
1851865174 Jessica S Evans Nurse Practitioner 211 N Eddy St, South Bend, IN 46617-2808 2019-01-21
1467929570 Sabrina Jovita Lopez Nurse Practitioner 211 N Eddy St, South Bend, IN 46617-2808 2018-10-26
1326515701 Kara L Kaiser Nurse Practitioner 211 N Eddy St, South Bend, IN 46617-2808 2018-10-24
1962902254 Sarah Sue Humes Registered Nurse 211 N Eddy St, South Bend, IN 46617 2018-02-13
1598285686 Shana'e C Sobieray Audiologist 211 N Eddy St, South Bend, IN 46617 2017-06-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740731116 Jack Mcintyre Kimmell Specialist/Technologist 1526 East Lasalle, South Bend, IN 46617 2016-10-20
1023429115 Morning View Assisted Living LLC Assisted Living Facility 475 N. Niles Avenue, South Bend, IN 46617 2014-05-12
1265861231 Rebecca Busenbark Physical Therapist 401 E Colfax Ave Ste 102, South Bend, IN 46617 2013-11-11
1962709071 Doreen Danice Huddleston Social Worker 928 East Wayne St, Suit C, South Bend, IN 46617 2011-02-25
1487981734 Mary Cecilia Roemer Marriage & Family Therapist 616 E. Colfax Ave, South Bend, IN 46617 2009-11-06
1225264054 Sridhar Meda Dentist 1005 East Lasalle Ave, South Bend, IN 46617 2009-06-08
1063673531 Madeline Christina Watkins Counselor 616 E Colfax, South Bend, IN 46617 2008-06-18
1437366481 Michael Reed Johns Dentist 103 South Eddy Street, South Bend, IN 46617 2007-05-17
1194937680 Sarah Elizabeth Redman Specialist/Technologist 53880 Carmichael Dr., South Bend, IN 46617 2007-05-04
1124241211 Trixy Franke Family Medicine 837 E. Cedar St., Ste 100, South Bend, IN 46617 2007-04-10
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417574013 Hellen Gathesha Nurse Practitioner 2123 W Irvington Dr, South Bend, IN 46614 2020-06-30
1073042024 Emilee Tehrani Nurse Practitioner 621 Memorial Dr Ste 512, South Bend, IN 46601-1075 2017-06-05
1952836884 Ryan Ford Nurse Practitioner 2301 N Bendix Dr Ste 500, South Bend, IN 46628-3488 2017-04-28
1124563614 Alexandrea Burnett Nurse Practitioner 211 N. Eddy St., South Bend, IN 46617-3096 2016-12-20
1265700090 Gregory George Bingaman Nurse Practitioner 710 N Niles Ave, South Bend, IN 46617-1924 2011-12-07
1679768774 Kyra Dee Tatman Nurse Practitioner 615 N Michigan St Ste 502, South Bend, IN 46601-1033 2007-09-11
1386686996 Rhonda Y Griffiths Nurse Practitioner 234 Chapin St, Suite I, South Bend, IN 46601-2570 2006-06-11
1083665673 Beacon Medical Group, Inc. Nurse Practitioner 926 Erskine Plz, South Bend, IN 46614-3244 2006-05-16
1699763409 Patricia Ann Corbett Nurse Practitioner 1708 High St, South Bend, IN 46613-2633 2005-10-06
1760082002 Nicole A Scheidler Nurse Practitioner 211 N Eddy St, South Bend, IN 46617-3096 2020-10-27
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Competitor

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City SOUTH BEND
Zip Code 46617

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Dataset Information

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.

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