LUNAMED (NPI# 1356798060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356798060 |
| Entity Type | Organization |
| Organization Name | LUNAMED |
| Practice Address |
5665 Hallie Rae Ct Terre Haute IN 47802-8244 |
| Practice Telephone | 8122404446 |
| Mailing Telephone | 8122404446 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-08-02 |
| Authorized Official Name | JENNIFER MARIE COX (OWNER - CEO) |
| Authorized Official Telephone | 8122404446 |
| Authorized Official Credential | PMHNP/FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71001901 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5665 HALLIE RAE CT |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47802-8244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1366005027 | Irma D Davis Lmft | Marriage & Family Therapist | 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 | 2019-04-18 |
| 1255892543 | Darcie Jo Antony | Dietitian, Registered | 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 | 2019-03-28 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1972011815 | Wellness for Life Medical LLC | Clinic/Center | 3487 S 4th St, Terre Haute, IN 47802 | 2018-01-12 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1396187944 | Marc Keilman | Pharmacist | 1240 E Hook Dr, Terre Haute, IN 47802 | 2013-07-24 |
| 1043563364 | Indiana Hearing LLC | Hearing Aid Equipment | 3181 S 3rd Pl, Terre Haute, IN 47802 | 2012-10-24 |
| 1619241783 | Michael James Elkins Shanks | Urology | 3401 S 4th St, Terre Haute, IN 47802 | 2012-03-06 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| Find all providers in zip 47802 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126272 | Corinne Rose Haley | Nurse Practitioner | 308 Fort Harrison Rd, Terre Haute, IN 47804-1057 | 2020-08-26 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1558753012 | Natasha Morgan | Nurse Practitioner | 1530 N 7th St Ste 109, Terre Haute, IN 47807-1057 | 2015-02-20 |
| 1255759817 | Amber Denise Pitts | Nurse Practitioner | 1530 N 7th St Ste 110, Terre Haute, IN 47807-1057 | 2014-04-01 |
| 1760739130 | Debra Tague | Nurse Practitioner | 4445 S 10th St, Terre Haute, IN 47802-4315 | 2012-08-05 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| 1285916494 | Amy Clare Lambert | Nurse Practitioner | 670 E Margaret Dr, Terre Haute, IN 47802-3950 | 2011-09-13 |
| 1508159096 | Stephanie D Arnold | Nurse Practitioner | 1429 No. 6th Street, Terre Haute, IN 47807-1037 | 2011-05-17 |
| 1265678585 | Jessica Durbin | Nurse Practitioner | 670 Margaret Avenue, Terre Haute, IN 47802-3950 | 2008-12-17 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47802 |
Please comment or provide details below to improve the information on LUNAMED.
| 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.