EVONNE HIGDON (NPI# 1174060222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174060222 |
| Entity Type | Individual |
| Full Name | EVONNE HIGDON |
| Credential | NP |
| Practice Address |
611 E Douglas Rd Ste 208 Mishawaka IN 46545-1465 |
| Mailing Address |
707 Cedar St Ste 200 South Bend IN 46617-2057 |
| Practice Telephone | 5743356700 |
| Practice Fax Number | 5743350726 |
| Mailing Telephone | 5743358700 |
| Mailing Fax Number | 5743350741 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 28156466 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
611 E DOUGLAS RD STE 208 |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-1465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841372869 | Fei Lu | Internal Medicine | 611 E Douglas Rd Ste 208, Mishawaka, IN 46545 | 2006-10-19 |
| 1164909172 | Madeline Louise Ryan | Physician Assistant | 611 E Douglas Rd Ste 208, Mishawaka, IN 46545-1465 | 2018-07-23 |
| 1881194751 | Janey Lynne Hardesty | Nurse Practitioner | 611 E Douglas Rd Ste 208, Mishawaka, IN 46545 | 2018-02-17 |
| 1851899140 | Marie Antoinette Kennedy | Nurse Practitioner | 611 E Douglas Rd Ste 208, Mishawaka, IN 46545-1465 | 2018-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| 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 |
|---|---|---|---|---|
| 1326650052 | Rosemary Gathungu | Nurse Practitioner | 1113 Mossy Ln, Mishawaka, IN 46544-9055 | 2020-08-24 |
| 1194348995 | Molly Pestow | Nurse Practitioner | 611 E Douglas Rd Ste 309, Mishawaka, IN 46545-1467 | 2020-05-27 |
| 1558916668 | Jordan Thomas Alberda | Nurse Practitioner | 5215 Holy Cross Pkwy, Mishawaka, IN 46545 | 2019-08-06 |
| 1851899140 | Marie Antoinette Kennedy | Nurse Practitioner | 611 E Douglas Rd Ste 208, Mishawaka, IN 46545-1465 | 2018-02-01 |
| 1518408137 | Lyndsay Gable | Nurse Practitioner | 611 E Douglas Rd, Suite 308, Mishawaka, IN 46545-1464 | 2017-03-15 |
| 1740646348 | Renata Robertson | Nurse Practitioner | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2016-01-12 |
| 1578934402 | Timothy Primrose | Nurse Practitioner | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2015-10-19 |
| 1750770053 | Kristene Qualls | Nurse Practitioner | 524 E Mckinley Ave, Mishawaka, IN 46545-6285 | 2015-01-10 |
| 1558762476 | Kenlyn Marie Laureys | Nurse Practitioner | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2014-09-10 |
| 1730425604 | Beth Johanna Mondschein | Nurse Practitioner | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2012-12-21 |
| Find all providers in MISHAWAKA | ||||
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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.