RAE-LONDA MARIE WOODARD


Address: 1507 Wabash St, Suite 500b, Michigan City, IN 46360-4300
Phone: 2198618740

RAE-LONDA MARIE WOODARD (NPI# 1386960599) 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) 1386960599
Entity Type Individual
Full Name RAE-LONDA MARIE WOODARD
Credential MSN, FNP-BC
Practice Address 1507 Wabash St
Suite 500b
Michigan City
IN 46360-4300
Mailing Address 1225 E Coolspring Ave
Michigan City
IN 46360-6312
Practice Telephone 2198618740
Practice Fax Number 2198771029
Mailing Telephone 2198796531
Mailing Fax Number 2198727869
Enumeration Date 2010-04-13
Last Update Date 2010-04-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
28165511A IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1507 WABASH ST
SUITE 500B
City MICHIGAN CITY
State IN
Zip Code 46360-4300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477553634 La Porte County Anesthesia Associates LLC Anesthesiology 1507 Wabash St, Suite 400c, Michigan City, IN 46360-4300 2005-07-28
1174024939 Carolyn Mae Blouir Nurse Practitioner 1507 Wabash St, Michigan City, IN 46360 2018-02-26
1750768776 Suzanne Pellar Clinical Nurse Specialist 1507 Wabash St, Suite 400d, Michigan City, IN 46360-4300 2015-04-28
1255610697 Bikashagarwal Inc. Internal Medicine 1507 Wabash St, Suite 500b, Michigan City, IN 46360-4300 2011-08-16
1386823540 Lakeshore Interventional Pain Associates, LLC Case Management 1507 Wabash St, Suite 400c, Michigan City, IN 46360-4300 2007-10-24
1700920048 Michiana Cancer Treatment Center Specialist 1507 Wabash St, Michigan City, IN 46360-4300 2007-02-19
1124034905 Joy C Allen Radiology 1507 Wabash St, Michigan City, IN 46360 2006-07-31
1376500736 Danny C Sardon Surgery 1507 Wabash St, Suite 400b, Michigan City, IN 46360-4300 2006-04-28
1952372021 Patricia Schmidt Nurse Practitioner 1507 Wabash St, Suite 500a, Michigan City, IN 46360-4300 2006-01-27
1902876444 Alfredo Pamintuan Obstetrics & Gynecology 1507 Wabash St, Suite 500a, Michigan City, IN 46360-4300 2006-01-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821649096 Trinity Healthcare Inc. Occupational Therapist 4300 Cleveland Ave, Michigan City, IN 46360 2019-09-27
1861905499 Erika Leigh Maroon Chiropractor 8690 West Pahs Rd., Michigan City, IN 46360 2017-11-06
1750740650 Michelle Asbell Nurse Practitioner 301 Homer St, Michigan City, IN 46360 2016-02-19
1235523952 Marnee Flinn-smith Specialist/Technologist 8466 Pahs Rd, Michigan City, IN 46360 2015-03-19
1184976359 Kelly Stewart Physical Therapist 301 Homer Street, Michigan City, IN 46360 2012-10-11
1053660936 Planned Parenthood of Indiana Michigan City Clinic/Center 324 Dunes Plaza, Michigan City, IN 46360 2012-09-06
1114288644 June R. R. Nichols Ocularist, Ltd Durable Medical Equipment & Medical Supplies 450 St. John Road, Suite 396, Michigan City, IN 46360 2012-05-31
1083980858 Enoch Kassa Internal Medicine 3777 N Frontage Rd, Michigan City, IN 46360 2012-03-27
1760768196 American Limb & Orthopedic Company of Valparaiso Prosthetic/Orthotic Supplier 3777 N. Frontage Rd, Suite 100, Michigan City, IN 46360 2011-10-31
1801181144 Elizabeth A Whitaker Counselor 8733 W. 400 N., 400 North Medical Center, Michigan City, IN 46360 2011-06-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750651188 Jessica Sophia Bronner Nurse Practitioner 1225 E Coolspring Ave Ste 2b, Michigan City, IN 46360-6312 2012-01-02
1083996763 Sara Lynn Gonzalez Nurse Practitioner 8865 W 400 N Ste 105, Michigan City, IN 46360-9223 2011-09-19
1033419825 Nichole M Shultz Nurse Practitioner 601 W. Kieffer Road, Michigan City, IN 46360-9599 2010-10-26
1356503189 Vicki Overmyer Nurse Practitioner 8466 W Pahs Rd, Michigan City, IN 46360-2919 2008-07-02
1447357199 Kimberly Kaye Pflughaupt Nurse Practitioner 3777 N Frontage Rd Ste 500, Michigan City, IN 46360-7697 2006-09-17
1063483642 Christine Marie Maddox Nurse Practitioner 8865 W 400 N Ste 120, Michigan City, IN 46360-9011 2006-01-31
1841287299 Nancy Jane Paunicka Nurse Practitioner 3777 North Frontage Road, Michigan City, IN 46360-7694 2005-09-30
1699390872 Erica L Corradino Nurse Practitioner 710 Franklin St Ste 200, Michigan City, IN 46360-3564 2020-06-12
1548893084 Lisa Neil Nurse Practitioner 3777 N Frontage Rd, Michigan City, IN 46360-7695 2020-02-12
1629614771 Josephine Renae Chambers Nurse Practitioner 10176 W 400 N Ste B, Michigan City, IN 46360-9009 2019-11-25
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Competitor

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City MICHIGAN CITY
Zip Code 46360

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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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