KRISTINE WILLOUGHBY (NPI# 1326676024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326676024 |
Entity Type | Individual |
Full Name | KRISTINE WILLOUGHBY |
Practice Address |
505 S 25th St South Bend IN 46615-2117 |
Practice Telephone | 5742175997 |
Mailing Telephone | 5742175997 |
Enumeration Date | 2020-03-29 |
Last Update Date | 2020-03-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 347C00000X | Private Vehicle | Transportation Services | ||
Y | 347E00000X | Transportation Broker | Transportation Services |
Street Address |
505 S 25TH ST |
City | SOUTH BEND |
State | IN |
Zip Code | 46615-2117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679954804 | Healthlinc, Inc. | Clinic/Center | 1002 S Esther St, South Bend, IN 46615 | 2015-06-12 |
1861897688 | Michelle Jean Streb | Registered Nurse | 1960 Northside Boulevard, South Bend, IN 46615 | 2014-10-23 |
1275848962 | Charles Mikel Craig | Optometrist | 220 N. Ironwood Dr., South Bend, IN 46615 | 2010-08-18 |
1710219613 | Debra Vasquez | Occupational Therapy Assistant | 1950 Ridgedaleroad, South Bend, IN 46615 | 2010-02-03 |
1114259132 | Christopher Joseph Smith | Physical Therapist | 1005 Hickory Rd, South Bend, IN 46615 | 2010-02-01 |
1295064525 | Starlight Care Facilities, Inc | Skilled Nursing Facility | 915 So. 27th Street, South Bend, IN 46615 | 2009-12-16 |
1699002642 | Ann G Pryor | Contractor | 1516 E. Wayne St., South Bend, IN 46615 | 2009-11-12 |
1891917449 | Logan Community Resources, Inc. | Community/Behavioral Health | 2505 E. Jefferson Blvd, South Bend, IN 46615 | 2007-05-03 |
1487712683 | Julie Gaydos Plagens | Dentist | 604 South Eddy St, South Bend, IN 46615 | 2006-12-04 |
1629163084 | Edward F Klodzinski | Counselor | 3603 E. Jefferson Blvd., South Bend, IN 46615 | 2006-10-03 |
Find all providers in zip 46615 |
Taxonomy Code | 347E00000X |
Grouping | Transportation Services |
Classification | Transportation Broker |
A public or private organization or business contracted to arrange non-emergency medical transportation services, including appropriate ancillary services, e.g., lodging. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972100790 | Impressive Transport Services LLC | Transportation Broker | 2510 River Alder Way Apt 1417, Indianapolis, IN 46268-7771 | 2020-10-05 |
1669017794 | Renay Ann Bemiller | Transportation Broker | 102 Westgate Blvd, Wakarusa, IN 46573-8507 | 2019-11-13 |
1013490804 | Tiffinnie Washington | Transportation Broker | 1017 Kenwood St, Hammond, IN 46320-2723 | 2018-09-08 |
1467948356 | Wilkinson Consulting Incorporated | Transportation Broker | 1068 Mission Hills Ct, Chesterton, IN 46304-9605 | 2018-07-03 |
1558861617 | Level Up Construction Property Development LLC | Transportation Broker | 2815 Hillside Ave, Indianapolis, IN 46218-2716 | 2018-02-15 |
1952818031 | 5 Star Ricco LLC | Transportation Broker | 10938 Running Brook Rd, Indianapolis, IN 46234-7743 | 2018-01-10 |
1073042404 | Hearst Contracting Services Ltd | Transportation Broker | 8655 Shadow Ridge Lane, G, Indianapolis, IN 46239 | 2017-06-08 |
1821412727 | Convenient Medical Transportation | Transportation Broker | 6376 W Oxford Ln, Mccordsville, IN 46055-6108 | 2014-02-12 |
1144461666 | Zoom Transport Service | Transportation Broker | 1425 Carrollton Ave, Indianapolis, IN 46202-2714 | 2009-03-12 |
1922258094 | A Darling Courier Service, Inc | Transportation Broker | 2021 E 52nd St Ste 218, Indianapolis, IN 46205-1488 | 2008-09-25 |
Find all providers with the same taxonomy |
City | SOUTH BEND |
Zip Code | 46615 |
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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.