STEPHANIE L TRICE


Address: 770 E Dupont Rd, Fort Wayne, IN 46825-2056
Phone: (260) 414-9018

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 770 E DUPONT RD
City FORT WAYNE
State IN
Zip Code 46825-2056

Providers in the same location

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

Providers in the same zip code

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
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1326582925 Mark F Stoner LLC Dentist 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 2016-12-15
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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
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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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

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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
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Competitor

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City FORT WAYNE
Zip Code 46825

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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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