CORINNE MONIQUE HERTSEL (NPI# 1164064119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164064119 |
| Entity Type | Individual |
| Full Name | CORINNE MONIQUE HERTSEL |
| Other Name | CORINNE MONIQUE SHIELDS |
| Practice Address |
107 W Pickwick Dr Ste A Syracuse IN 46567-1832 |
| Practice Telephone | 5744578585 |
| Practice Fax Number | 2604792913 |
| Mailing Telephone | 5744578585 |
| Mailing Fax Number | 2604792913 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28173822A | IN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71009435A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
107 W PICKWICK DR STE A |
| City | SYRACUSE |
| State | IN |
| Zip Code | 46567-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891066189 | Erick Leffler | Chiropractor | 201 E Palm Dr Ste E, Syracuse, IN 46567 | 2012-01-19 |
| 1881923605 | April D Silvarman | Licensed Practical Nurse | 4665 East Sunset Drive, Syracuse, IN 46567 | 2009-12-08 |
| 1700996675 | James T Mulry | Family Medicine | 1033 North Indiana Ave, Syracuse, IN 46567 | 2006-08-30 |
| 1730299603 | Jodi S Clouse | Family Medicine | 1033 North Indiana Avenue, Syracuse, IN 46567 | 2006-08-30 |
| 1003924564 | Mary C Baker | Dentist | 1101 S Huntington St Ste #4, Syracuse, IN 46567 | 2006-08-26 |
| 1942310818 | Larry D Allen | Family Medicine | 1033 N Indiana Ave, Syracuse, IN 46567-1017 | 2006-08-30 |
| 1215596770 | Falon Kuhn | Nurse Practitioner | 1033 N Indiana Ave, Syracuse, IN 46567-1017 | 2019-06-10 |
| 1356868087 | Joelle Marie Carson | Nurse Practitioner | 1033 N Indiana Ave, Syracuse, IN 46567-1017 | 2017-08-24 |
| 1558891812 | Matthew Wells | Family Medicine | 1033 N Indiana Ave, Syracuse, IN 46567-1017 | 2017-06-19 |
| 1912328147 | Amy L Frazier | Nurse Practitioner | 1033 N Indiana Ave, Syracuse, IN 46567-1017 | 2013-12-13 |
| Find all providers in zip 46567 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1679191019 | Katherine Rose Halleck | Nurse Practitioner | 141 Atkinson Ave, Syracuse, NY 13207-1125 | 2020-07-13 |
| 1649817693 | Ladislava Kulikova | Nurse Practitioner | 55 Westbrook Hills Dr, Syracuse, NY 13215-1809 | 2019-12-09 |
| 1841845799 | Robin M Stark | Nurse Practitioner | 1000 E Genesee St Ste 402, Syracuse, NY 13210-1853 | 2019-08-07 |
| 1699335729 | Kathleen M Tindall | Nurse Practitioner | 739 Irving Ave Ste 450, Syracuse, NY 13210-1663 | 2019-06-20 |
| 1760964142 | Stacey Margaret Schneble | Nurse Practitioner | 114 Skyview Ter, Syracuse, NY 13219-2850 | 2018-09-03 |
| 1447753355 | Lilia P Buchmuller | Nurse Practitioner | 1361 S 2675 W, Syracuse, UT 84075-8306 | 2018-03-16 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1225550783 | Kerry Laine Goessling | Nurse Practitioner | 6712 Brooklawn Pkwy Ste 204, Syracuse, NY 13211-2158 | 2017-07-16 |
| Find all providers in SYRACUSE | ||||
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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.