FC INDIANA, LLC (NPI# 1225579063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225579063 |
| Entity Type | Organization |
| Organization Name | FC INDIANA, LLC |
| Other Organization Name | FIRST CARE CLINICS |
| Practice Address |
2418 16th St Bedford IN 47421-3049 |
| Mailing Address |
Po Box 40166 Nashville TN 37204-0166 |
| Practice Telephone | 8125088683 |
| Practice Fax Number | 8125088684 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2019-06-27 |
| Authorized Official Name | ANDREW MICHAEL DEANE (VP FINANCE) |
| Authorized Official Telephone | 6156003478 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| First Care Clinics | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2422 16th St, Bedford, IN 474213049 | 6155711179 |
| Street Address |
2418 16TH ST |
| City | BEDFORD |
| State | IN |
| Zip Code | 47421-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699319681 | Michaela Jean Schuetter | Nurse Practitioner | 2418 16th St, Bedford, IN 47421-3049 | 2019-11-01 |
| 1023585569 | Alyssa Brooke Kellams | Nurse Practitioner | 2418 16th St, Bedford, IN 47421-3049 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114406303 | Leana Michelle Massimini | Speech-Language Pathologist | 3710 Kenneth Simpson Ln, Bedford, IN 47421 | 2018-08-09 |
| 1497246888 | Sara Lehr Corry | Counselor | 2325 Q St., Bedford, IN 47421 | 2018-05-22 |
| 1760737274 | Lisa Lynne Autry | Social Worker | 2125 16th Street, Bedford, IN 47421 | 2012-07-20 |
| 1285998153 | Reid Clipp Crosby | Obstetrics & Gynecology | 118woodhill Dr, Bedford, IN 47421 | 2012-06-26 |
| 1730453184 | Fields Chiropractic Inc | Chiropractor | 2418 W 16th St, Bedford, IN 47421 | 2012-03-02 |
| 1639461783 | Lori Wininger | Physical Therapy Assistant | 2137 16th Street, Bedford, IN 47421 | 2011-05-09 |
| 1871743716 | Union Optical and Eyecare Center, Inc. | Optometrist | 3343 Michael Ave, Bedford, IN 47421 | 2008-09-29 |
| 1326207176 | Ross Wright | Surgery | 179 Shawswick Road, Bedford, IN 47421 | 2008-06-06 |
| 1336320563 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1510 Clinic Dr, Bedford, IN 47421 | 2007-11-15 |
| 1306031992 | Assisted Living Concepts Inc | Assisted Living Facility | 3008 Shawnee Drive, South Bedford, IN 47421 | 2007-09-07 |
| Find all providers in zip 47421 | ||||
| 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 |
|---|---|---|---|---|
| 1821622911 | Mh Health Care Services, PC | Nurse Practitioner | 125 Middlesex Tpke, Bedford, MA 01730-1409 | 2020-02-27 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1972079788 | Mychelle Baxter | Nurse Practitioner | 1900 Wimbleton Dr, Bedford, TX 76021-2554 | 2018-10-18 |
| 1689021917 | Doctors Extenders, Inc | Nurse Practitioner | 1104 Monterrey St, Bedford, TX 76022-7531 | 2016-05-17 |
| 1710137245 | Kristen Kay Brooks | Nurse Practitioner | 2217 Murphy Dr Apt 2026, Bedford, TX 76021 | 2008-09-20 |
| 1376665422 | Integrated Pain Care of Bedford, LLC | Nurse Practitioner | 706 Riverway Place, Bedford, NH 03110-6768 | 2007-04-06 |
| 1982706180 | Dorothy A Sullivan | Nurse Practitioner | 262 S River Rd, Bedford, NH 03110-6916 | 2006-09-01 |
| 1528001377 | Carolyn Finocchiaro | Nurse Practitioner | 306 Riverway Pl, Bedford, NH 03110-6764 | 2006-06-13 |
| 1164470944 | Denise Doyle | Nurse Practitioner | 1017 14th St, Bedford, IN 47421-3510 | 2006-05-04 |
| 1154395747 | Jill S Buterbaugh | Nurse Practitioner | 104 Railroad St, Bedford, PA 15522-1013 | 2006-02-13 |
| Find all providers in BEDFORD | ||||
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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.