MRS. CHRISTINE LYNN ROMACK (NPI# 1538641105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538641105 |
| Entity Type | Individual |
| Full Name | MRS. CHRISTINE LYNN ROMACK |
| Credential | FNP-C |
| Practice Address |
621 Memorial Dr Ste 402 South Bend IN 46601-1074 |
| Mailing Address |
2401 Valley Dr Valparaiso IN 46383-2520 |
| Practice Telephone | 8885801060 |
| Practice Fax Number | 7654725468 |
| Mailing Telephone | 2194135100 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2020-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 28161934A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
621 MEMORIAL DR STE 402 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710962915 | Brandon William Zabukovic | Family Medicine | 621 Memorial Dr Ste 402, South Bend, IN 46601-1074 | 2005-12-09 |
| 1528679891 | Rebecca Louise Kray | Nurse Practitioner | 621 Memorial Dr Ste 402, South Bend, IN 46601-1074 | 2020-08-11 |
| 1932678679 | Ashley Brunt | Social Worker | 621 Memorial Dr Ste 402, South Bend, IN 46601-1074 | 2018-11-23 |
| 1972071769 | Healthlinc, Inc | Clinic/Center | 621 Memorial Dr Ste 402, South Bend, IN 46601-1074 | 2018-11-09 |
| 1245722586 | Carolyn Horin | Nurse Practitioner | 621 Memorial Dr Ste 402, South Bend, IN 46601-1074 | 2018-06-02 |
| 1922506948 | Andrea Beth Edgerly | Nurse Practitioner | 621 Memorial Dr Ste 402, South Bend, IN 46601-1074 | 2018-01-24 |
| 1861879264 | Joyce Ellen Racz | Nurse Practitioner | 621 Memorial Dr Ste 402, South Bend, IN 46601-1074 | 2015-05-05 |
| 1881018729 | Rebekah Kottkamp | Nurse Practitioner | 621 Memorial Dr Ste 402, South Bend, IN 46601-1074 | 2014-02-12 |
| 1558623686 | Michael Sean Kozak | Family Medicine | 621 Memorial Dr Ste 402, South Bend, IN 46601-1074 | 2012-06-14 |
| 1144479460 | Christine Elizabeth Coulter | Nurse Practitioner | 621 Memorial Dr Ste 402, South Bend, IN 46601-1074 | 2008-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1073042024 | Emilee Tehrani | Nurse Practitioner | 621 Memorial Dr Ste 512, South Bend, IN 46601-1075 | 2017-06-05 |
| 1952836884 | Ryan Ford | Nurse Practitioner | 2301 N Bendix Dr Ste 500, South Bend, IN 46628-3488 | 2017-04-28 |
| 1124563614 | Alexandrea Burnett | Nurse Practitioner | 211 N. Eddy St., South Bend, IN 46617-3096 | 2016-12-20 |
| 1265700090 | Gregory George Bingaman | Nurse Practitioner | 710 N Niles Ave, South Bend, IN 46617-1924 | 2011-12-07 |
| 1679768774 | Kyra Dee Tatman | Nurse Practitioner | 615 N Michigan St Ste 502, South Bend, IN 46601-1033 | 2007-09-11 |
| 1386686996 | Rhonda Y Griffiths | Nurse Practitioner | 234 Chapin St, Suite I, South Bend, IN 46601-2570 | 2006-06-11 |
| 1083665673 | Beacon Medical Group, Inc. | Nurse Practitioner | 926 Erskine Plz, South Bend, IN 46614-3244 | 2006-05-16 |
| 1699763409 | Patricia Ann Corbett | Nurse Practitioner | 1708 High St, South Bend, IN 46613-2633 | 2005-10-06 |
| 1760082002 | Nicole A Scheidler | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-3096 | 2020-10-27 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
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| 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.