DEOANNA GORRELL


Address: 5165 Mccarty Ln, Lafayette, IN 47905-8764
Phone: 7654488000

DEOANNA GORRELL (NPI# 1508497264) 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) 1508497264
Entity Type Individual
Full Name DEOANNA GORRELL
Practice Address 5165 Mccarty Ln
Lafayette
IN 47905-8764
Practice Telephone 7654488000
Enumeration Date 2020-01-31
Last Update Date 2020-01-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
28198660A IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5165 MCCARTY LN
City LAFAYETTE
State IN
Zip Code 47905-8764

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861447211 Lafayette Emergency Care, P.C. Emergency Medicine 5165 Mccarty Ln, Lafayette, IN 47905-8764 2006-05-24
1144827650 Emily Ann Burkhalter Registered Nurse 5165 Mccarty Ln, Lafayette, IN 47905-8764 2020-10-07
1053918987 Amy Elizabeth Manahan Registered Nurse 5165 Mccarty Ln, Lafayette, IN 47905-8764 2020-10-04
1568075513 James Michael Roush Registered Nurse 5165 Mccarty Ln, Lafayette, IN 47905-8764 2020-08-28
1497365217 Ryan Haas Physician Assistant 5165 Mccarty Ln, Lafayette, IN 47905-8764 2020-08-06
1972120145 Jocelyn Tao Pharmacist 5165 Mccarty Ln, Lafayette, IN 47905-8764 2020-07-02
1396362943 Bryce R Burkhart Pharmacist 5165 Mccarty Ln, Lafayette, IN 47905-8764 2020-06-30
1184259566 Amy E Zumwalt Pharmacist 5165 Mccarty Ln, Lafayette, IN 47905-8764 2020-03-06
1497380067 Skyler Williams Registered Nurse 5165 Mccarty Ln, Lafayette, IN 47905-8764 2020-03-04
1578198230 Ashley Scheil Registered Nurse 5165 Mccarty Ln, Lafayette, IN 47905-8764 2020-03-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538719893 Elements Counseling LLC Social Worker 115 N. Farabee Drive, Lafayette, IN 47905 2019-09-18
1134596869 Indiana Dental Sleep Therapy LLC Dentist 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 2015-08-28
1255750899 Emily S Miller Physical Therapist 1701 Creasy Ln, Lafayette, IN 47905 2014-04-10
1073876215 Nathan Webster Dentist 1530 Kossuth St., Lafayette, IN 47905 2012-06-22
1578848370 Mark Jin Kim Pharmacist 1801 South St., Lafayette, IN 47905 2011-10-13
1700177185 Shannon Tawn Harris Speech-Language Pathologist 8900 Cobbler Lane, Lafayette, IN 47905 2011-04-20
1508164484 David Thomas Beine Specialist/Technologist 1321 Unity Pl Ste A, Lafayette, IN 47905 2011-03-02
1447569538 Deidre Dudley Nurse Practitioner 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 2010-10-07
1548493067 Unity Healthcare, LLC Podiatrist 750 Park East Blvd, Unit 4, Lafayette, IN 47905 2009-09-01
1073762969 Lynette Marie Alexander Nurse Practitioner 5500 St Rd. 38 East, Lafayette, IN 47905 2008-09-16
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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

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1952915233 Christi Danielle Carmouche Nurse Practitioner 119 Crooked Stick Ln, Lafayette, LA 70506-7539 2020-09-03
1881204808 Shavondali Harris Cawthorne Nurse Practitioner 945 Bellevue Plantation Rd, Lafayette, LA 70503-6122 2020-08-04
1386253870 Millcreek Medical LLC Nurse Practitioner 105 Moss Brook Dr, Lafayette, LA 70508-8039 2020-07-30
1174145759 Synita Wooten Nurse Practitioner 200 Highway 52 Byp E, Lafayette, TN 37083-1353 2020-05-18
1316567548 Michelle Cataldo Nurse Practitioner 605 Viridian Dr Apt 148, Lafayette, CO 80026-7045 2020-04-17
1255974515 Dr. Terrell S Manuel, LLC Nurse Practitioner 336 Brightwood Dr, Lafayette, LA 70508-7358 2019-10-19
1477117562 Kayley Jon Myers Nurse Practitioner 200 Beaullieu Dr Ste 6, Lafayette, LA 70508-7230 2019-04-24
1003371840 Brandi Rene Boutte Nurse Practitioner 1101 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508-5705 2019-02-06
1265912141 Kathryn Lynn Armentor Boutte Nurse Practitioner 4212 W Congress St Ste 3300, Lafayette, LA 70506-6789 2018-08-20
1801380829 Sarah Darouse Nurse Practitioner 155 Hospital Dr Ste 101, Lafayette, LA 70503-2852 2018-06-22
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Competitor

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City LAFAYETTE
Zip Code 47905

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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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