BETHANY A CORRELLI (NPI# 1497353973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497353973 |
Entity Type | Individual |
Full Name | BETHANY A CORRELLI |
Credential | FNP-BC |
Practice Address |
1551 Sturdy Rd Valparaiso IN 46383-7883 |
Mailing Address |
216 Ellendale Pkwy Crown Point IN 46307-4342 |
Practice Telephone | 2194641365 |
Mailing Telephone | 4435063892 |
Enumeration Date | 2020-10-15 |
Last Update Date | 2020-10-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
28225364A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1551 STURDY RD |
City | VALPARAISO |
State | IN |
Zip Code | 46383-7883 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295730075 | Richard Henry Silberman II | Psychiatry & Neurology | 1551 Sturdy Rd, Valparaiso, IN 46383-7883 | 2005-06-17 |
1821600198 | Pinnacle Healthcare, LLC | Family Medicine | 1551 Sturdy Rd, Valparaiso, IN 46383-7883 | 2020-08-18 |
1821597485 | Advanced Neurology LLC | Psychiatry & Neurology | 1551 Sturdy Rd, Valparaiso, IN 46383-7883 | 2018-02-08 |
1215125059 | Lonnie R Ailes, Md. Inc | Family Medicine | 1551 Sturdy Rd, Valparaiso, IN 46383-7883 | 2007-10-05 |
1033148713 | Neurology Associates of Northwest Indiana, P.C. | Psychiatry & Neurology | 1551 Sturdy Rd, Valparaiso, IN 46383-7883 | 2006-07-03 |
1750335246 | Your Nurse, LLC | Internal Medicine | 1551 Sturdy Rd, Valparaiso, IN 46383-7883 | 2006-05-20 |
1730177544 | Wallace W Sherritt Do Inc | Obstetrics & Gynecology | 1551 Sturdy Rd, Valparaiso, IN 46383 | 2005-10-06 |
1881693083 | Lonnie R Ailes | Family Medicine | 1551 Sturdy Rd, Valparaiso, IN 46383-7883 | 2005-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
Find all providers in zip 46383 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1255815379 | Amanda Kay Goins | Nurse Practitioner | 3919 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-6811 | 2018-09-25 |
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 | VALPARAISO |
Zip Code | 46383 |
Please comment or provide details below to improve the information on BETHANY A CORRELLI.
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.