MRS. MORGAN NICOLE EDMONDS (NPI# 1265804488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265804488 |
| Entity Type | Individual |
| Full Name | MRS. MORGAN NICOLE EDMONDS |
| Other Name | MS. MORGAN NICOLE PROUGH |
| Credential | AGPCNP-BC |
| Practice Address |
112 W Jefferson Blvd Suite 600 South Bend IN 46601-1923 |
| Practice Telephone | 8884037246 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2016-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704293688 | MI | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 4704293688 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
112 W JEFFERSON BLVD SUITE 600 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740296516 | Freda Ann Black | Nurse Practitioner | 112 W Jefferson Blvd, South Bend, IN 46601-1923 | 2006-07-31 |
| 1295278802 | Joseph Hulse Jr. | Nurse Practitioner | 112 W Jefferson Blvd, Ste 600, South Bend, IN 46601-1923 | 2016-11-30 |
| 1013365378 | James Brown | Nurse Practitioner | 112 W Jefferson Blvd, Ste 600, South Bend, IN 46601-1923 | 2016-05-27 |
| 1295181154 | James Fenstermacher | Psychologist | 112 W Jefferson Blvd, Ste 600, South Bend, IN 46601-1923 | 2016-05-10 |
| 1336507094 | Azubike Nwokedi | Nurse Practitioner | 112 W Jefferson Blvd, Ste 600, South Bend, IN 46601-1923 | 2016-02-09 |
| 1346606449 | Neurology and Pain Management | Psychiatric Hospital | 112 W Jefferson Blvd, South Bend, IN 46601-1923 | 2016-01-06 |
| 1265810584 | Tara Pousson | Nurse Practitioner | 112 W Jefferson Blvd, Suite 600, South Bend, IN 46601-1923 | 2015-05-07 |
| 1710229398 | Kimberly Ann Artman | Registered Nurse | 112 W Jefferson Blvd, Ste 600, South Bend, IN 46601-1923 | 2013-03-21 |
| 1528201076 | Thomas Leahy | Psychiatry & Neurology | 112 W Jefferson Blvd, Ste 600, South Bend, IN 46601-1923 | 2009-04-14 |
| 1558522730 | Kashif A Janjua | Internal Medicine | 112 W Jefferson Blvd, Neurology and Pain Management Associates, PC, South Bend, IN 46601-1923 | 2008-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
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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.