ELIZABETH S. SHUCK


Address: 915 N Capitol Ave, Indianapolis, IN 46204-1004
Phone: 3176310420

ELIZABETH S. SHUCK (NPI# 1366777021) 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) 1366777021
Entity Type Individual
Full Name ELIZABETH S. SHUCK
Credential CANP, MSN
Practice Address 915 N Capitol Ave
Indianapolis
IN 46204-1004
Mailing Address 3001 Redfern Dr
Indianapolis
IN 46227-4365
Practice Telephone 3176310420
Mailing Telephone 3177819859
Enumeration Date 2009-10-13
Last Update Date 2014-04-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
71000751 IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 915 N CAPITOL AVE
City INDIANAPOLIS
State IN
Zip Code 46204-1004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922146885 Kenneth Douglas Marshall General Practice 915 N Capitol Ave, Indianapolis, IN 46204-1004 2007-02-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982245593 Melvin Jay Prince Internal Medicine Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 2019-10-04
1487203139 Elizabeth Ann Wilson Behavior Technician 120 N East St Ste 1233, Indianapolis, IN 46204 2019-09-05
1225691207 Kawthar Mohamed Student in an Organized Health Care Education/Training Program 120 W Michigan St # Cl630, Indianapolis, IN 46204 2019-04-16
1457853962 Tracie Lynn King Physical Therapy Assistant 500 N Capitol Ave Unit A, Indianapolis, IN 46204 2018-03-01
1013436831 Kayla Michelle Jackson Social Worker 1099 North Meridian Street, Suite 900, Indianapolis, IN 46204 2017-09-13
1912434010 Latrice N Baxter Counselor 201 N. Illinois Street, 16th Floor, South Tower, Indianpolis, IN 46204 2017-05-19
1750820643 Jcpl, LLC Optometrist 751 Massachusetts Ave, Indianapolis, IN 46204 2017-02-13
1922546969 Makenzie Brinker Specialist/Technologist 800 N. Capital Ave, 420, Indianapolis, IN 46204 2017-02-10
1598118572 Jennifer Clark Internal Medicine 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 2016-07-14
1194176263 Bradley Cox Dentist 451 E Market St Apt 448, Indianapolis, IN 46204 2016-06-29
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851852727 Carmen Lagaye Bogle Nurse Practitioner 1050 W 72nd St, Indianapolis, IN 46260-4037 2019-03-25
1861991176 Kimberly S Houchens Nurse Practitioner 135 N Pennsylvania St Ste 1610, Indianapolis, IN 46204-2448 2018-02-02
1356866834 Andrea Elaine Tennancour Nurse Practitioner My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 2017-08-07
1194259879 Bahtrena Rogers Nurse Practitioner 9302 Budd Run Dr, Indianapolis, IN 46250-1322 2017-04-19
1538512090 Martita Rolanda Meeks Nurse Practitioner 7240 Shadeland Sta Ste 300, Indianapolis, IN 46256-3944 2016-07-20
1194177022 Stephanie R Young Nurse Practitioner 8360 S Emerson Ave Ste 100, Indianapolis, IN 46237-8746 2016-07-03
1114394426 Tamara Sue Roberts Nurse Practitioner 7911 N Michigan Road, Indianapolis, IN 46268-1360 2015-08-24
1023426780 Lesli White Nurse Practitioner 1 Allison Way, Indianapolis, IN 46222-3271 2014-07-25
1386070274 Kimberly Demasie Nurse Practitioner 7520 E 88th Pl, Suite 101, Indianapolis, IN 46256-1253 2013-09-24
1669788204 Shannon L Childers-page Nurse Practitioner 1701 N Senate Blvd # A5231, Indianapolis, IN 46202-1239 2010-08-20
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Competitor

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City INDIANAPOLIS
Zip Code 46204

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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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