KRISTINE WILLOUGHBY


Address: 505 S 25th St, South Bend, IN 46615-2117
Phone: 5742175997

KRISTINE WILLOUGHBY (NPI# 1326676024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 347C00000X Private Vehicle Transportation Services
Y 347E00000X Transportation Broker Transportation Services

Office Location

Street Address 505 S 25TH ST
City SOUTH BEND
State IN
Zip Code 46615-2117

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 347E00000X
Grouping Transportation Services
Classification Transportation Broker

Taxonomy Definition

A public or private organization or business contracted to arrange non-emergency medical transportation services, including appropriate ancillary services, e.g., lodging.

Providers in the same taxonomy and state

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
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Competitor

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City SOUTH BEND
Zip Code 46615

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Dataset Information

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.

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