STEPHANIE L TRICE (NPI# 1366874273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366874273 |
Entity Type | Individual |
Full Name | STEPHANIE L TRICE |
Other Name | STEPHANIE LOCKETT |
Credential | FNP |
Practice Address |
770 E Dupont Rd Fort Wayne IN 46825-2056 |
Practice Telephone | (260) 414-9018 |
Mailing Telephone | (260) 414-9018 |
Enumeration Date | 2013-08-01 |
Last Update Date | 2017-09-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
28162213A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
71004654A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
770 E DUPONT RD |
City | FORT WAYNE |
State | IN |
Zip Code | 46825-2056 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770871337 | Tamala D. Guyton | Nurse Practitioner | 770 E Dupont Rd, Fort Wayne, IN 46825-2056 | 2011-07-18 |
1164040135 | Maria I Schiebel | Nurse Practitioner | 770 E Dupont Rd, Fort Wayne, IN 46825-2056 | 2020-07-07 |
1295377935 | Nichol K. Price | Nurse Practitioner | 770 E Dupont Rd, Fort Wayne, IN 46825-2056 | 2019-10-15 |
1700431988 | Thomas Patrick Carey | Pharmacist | 770 E Dupont Rd, Fort Wayne, IN 46825-2056 | 2019-08-05 |
1578913539 | Melissa Rae Romine | Nurse Practitioner | 770 E Dupont Rd, Fort Wayne, IN 46825-2056 | 2016-06-20 |
1104257146 | Hook-superx LLC | Durable Medical Equipment & Medical Supplies | 770 E Dupont Rd, Fort Wayne, IN 46825-2056 | 2013-12-02 |
1588916340 | Emily Dawn Hurst | Nurse Practitioner | 770 E Dupont Rd, Fort Wayne, IN 46825-2056 | 2012-10-03 |
1235488271 | Melissa Nicole Smith | Nurse Practitioner | 770 E Dupont Rd, Fort Wayne, IN 46825-2056 | 2012-09-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
Find all providers in zip 46825 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255815379 | Amanda Kay Goins | Nurse Practitioner | 3919 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-6811 | 2018-09-25 |
1558960179 | Omolola Beaird | Nurse Practitioner | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2020-10-24 |
1104473255 | Linzie A Howard | Nurse Practitioner | 3010 Independence Dr, Fort Wayne, IN 46808-1328 | 2019-08-23 |
1154809036 | Amy Marie Harmeyer | Nurse Practitioner | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 | 2018-08-01 |
1518409812 | Heather Janel Frazier | Nurse Practitioner | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2016-11-17 |
1205115649 | Carol A Stults | Nurse Practitioner | 5649 Coventry Ln, Fort Wayne, IN 46804-7145 | 2011-08-16 |
1649461005 | Sarah D Heck | Nurse Practitioner | 4666 W Jefferson Blvd, Suite 140, Fort Wayne, IN 46804-6892 | 2007-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942809140 | Indiana Suburban Visiting Physician Services | Nurse Practitioner | 5 Washington St Ste 300, Valparaiso, IN 46383-4769 | 2020-10-20 |
1033737069 | Housecalls/optum for United Health Group | Nurse Practitioner | 518 Euclid Ave, Greenwood, IN 46142-3618 | 2020-07-07 |
1497382030 | Toya Jamillah Woods | Nurse Practitioner | 3814 Grant St, Gary, IN 46408-2150 | 2020-03-24 |
1558905554 | Amy Hueston | Nurse Practitioner | 313 S Berkley Rd, Kokomo, IN 46901-5114 | 2019-11-01 |
1891338166 | Jayme Lantz | Nurse Practitioner | 20085 Turquoise Ln, Goshen, IN 46528-6294 | 2019-10-19 |
1033761770 | Workplace Health Services | Nurse Practitioner | 1632 W. In-28, Frankfort, IN 46041 | 2019-07-12 |
1164984597 | Care At Home LLC | Nurse Practitioner | 717 Washington Park Blvd, Michigan City, IN 46360-2056 | 2019-04-04 |
1972084267 | Kelly Sue Ann Peasley | Nurse Practitioner | 2101 Jackson St Ste 8, Anderson, IN 46016-4341 | 2018-08-24 |
1891271466 | Hilton Health Housecall LLC | Nurse Practitioner | 4340 Trace Wood Dr, Indianapolis, IN 46254-6238 | 2018-07-17 |
1235634221 | Laura D Cannon | Nurse Practitioner | 6375 U S Hwy 6, Portage, IN 46368-5218 | 2018-03-29 |
Find all providers with the same taxonomy |
City | FORT WAYNE |
Zip Code | 46825 |
Please comment or provide details below to improve the information on STEPHANIE L TRICE.
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.