ANGELA RENA WITZMANN (NPI# 1215971833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215971833 |
| Entity Type | Individual |
| Full Name | ANGELA RENA WITZMANN |
| Credential | CNS/APRN |
| Practice Address |
1522 W Morris St Indianapolis IN 46221-1629 |
| Mailing Address |
3403 E Raymond St Indianapolis IN 46203-4744 |
| Practice Telephone | 3179572500 |
| Practice Fax Number | 3179572520 |
| Mailing Telephone | 3179572000 |
| Mailing Fax Number | 3179572050 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2017-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
28110617A | IN | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
70000076A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
70000076A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PIN NUMBER | 000000335051 | 01 |
| IN | 200119010 | 05 |
| Street Address |
1522 W MORRIS ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46221-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881681682 | Kathleen Anne Cohenour | Internal Medicine | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2005-10-05 |
| 1053956987 | Tracy L Morrison | Nurse Practitioner | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2019-11-14 |
| 1922544584 | Lori S. Fishburn | Nurse Practitioner | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2017-01-06 |
| 1689128050 | Roshni Shah | Pharmacist | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2016-08-15 |
| 1801251640 | Jamea A Umendu | Advanced Practice Midwife | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2015-12-21 |
| 1396164182 | Alecia Fields | Obstetrics & Gynecology | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2014-04-09 |
| 1609126804 | Angela Lyttle | Advanced Practice Midwife | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2012-09-14 |
| 1972868313 | Crystal Shirish Mehta | Psychiatry & Neurology | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2012-07-11 |
| 1386935344 | Kristen Lawlis Bendinger | Internal Medicine | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2011-04-26 |
| 1649438128 | Anne V Gormley | Dentist | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2008-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598957474 | Kim M Malicoat | Occupational Therapy Assistant | 5019 Emmert Drive, Indianapolis, IN 46221 | 2007-08-14 |
| 1811066715 | Sarah A Wilson | Dentist | 3715 Kentucky Av, Suite B, Indianapolis, IN 46221 | 2006-11-06 |
| 1619074812 | Clarence H Thomas Md LLC | Family Medicine | 6021 Kentucky Avenue, Indianapolis, IN 46221 | 2006-09-20 |
| 1356326763 | Clarence Henry Thomas | Family Medicine | 6021 Kentucky Ave, Indianapolis, IN 46221 | 2005-12-08 |
| 1740443027 | Stacey Anne Ulery | Physical Therapy Assistant | 4851 Tincher Rd, Indianapolis, IN 46221 | 2008-07-07 |
| 1215019401 | Carol June Kauffman | Nurse Practitioner | 6021 Kentucky Avenue, Indianapolis, IN 46221 | 2006-10-19 |
| 1922096734 | William Vanosdol | Pediatrics | 2202 W Morris St, Indianapolis, IN 46221-1404 | 2005-10-06 |
| 1447644638 | Peter Rentsch | Specialist/Technologist | 1336 Shepard St, Indianapolis, IN 46221-1528 | 2015-03-25 |
| 1407288335 | Justine Shannon Larocca | Speech-Language Pathologist | 1450 S Reisner St, Indianapolis, IN 46221-1637 | 2013-08-01 |
| 1467575696 | Robert William Foster | Chiropractor | 1759 W Morris St, Indianapolis, IN 46221-1641 | 2007-04-10 |
| Find all providers in zip 46221 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444775 | Anu Abraham Ade Owofadeju | Nurse Practitioner | 8820 S Meridian St Ste 225, Indianapolis, IN 46217-6064 | 2020-07-21 |
| 1356959068 | Indy Behavioral Health LLC | Nurse Practitioner | 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069 | 2020-07-20 |
| 1376184556 | Carrie Mefford | Nurse Practitioner | 5435 E 16th St, Indianapolis, IN 46218-4869 | 2019-09-30 |
| 1124599394 | Adria Dawn Thornburgh | Nurse Practitioner | 6235 Forest View Dr, Indianapolis, IN 46260-4707 | 2018-12-16 |
| 1033693213 | Katie Marie Feeney | Nurse Practitioner | Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 | 2018-09-24 |
| 1912453937 | Andrew J Slaton | Nurse Practitioner | 1503 N Mitthoeffer Rd, Indianapolis, IN 46229-2425 | 2016-08-30 |
| 1528487659 | Elise S Montoya | Nurse Practitioner | 9106 North Meridian Street, Suite 100, Indianapolis, IN 46260 | 2014-04-16 |
| 1982046587 | Hillary A House | Nurse Practitioner | 2040 North Shadeland Ave, Ste 200, Indianapolis, IN 46219-1734 | 2013-07-24 |
| 1982936175 | Krista Schwuchow | Nurse Practitioner | 3403 E Raymond St, Indianapolis, IN 46203-4744 | 2010-02-12 |
| 1730265356 | Tammy Jo Bradford | Nurse Practitioner | 5251 S East St Ste 25b, Indianapolis, IN 46227-2061 | 2006-10-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46221 |
Please comment or provide details below to improve the information on ANGELA RENA WITZMANN.
| 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.