STORMI T RAINES (NPI# 1558880872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558880872 |
| Entity Type | Individual |
| Full Name | STORMI T RAINES |
| Credential | PA-C |
| Practice Address |
1111 Ronald Reagan Pkwy Avon IN 46123-7085 |
| Practice Telephone | (317) 217-3500 |
| Practice Fax Number | 3172173551 |
| Mailing Telephone | 3172173500 |
| Mailing Fax Number | 3172173551 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10002294A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1111 RONALD REAGAN PKWY |
| City | AVON |
| State | IN |
| Zip Code | 46123-7085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447249990 | Chun L Ng | Emergency Medicine | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2005-10-18 |
| 1558978353 | Ann Allison | Clinical Nurse Specialist | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2020-09-25 |
| 1841804549 | Erica Newkirk | Clinical Nurse Specialist | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2020-09-01 |
| 1750901302 | Dawn M Hinshaw | Pharmacy Technician | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2020-04-23 |
| 1518590504 | Emily W Peat | Registered Nurse | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2020-02-18 |
| 1679105878 | Joni Ann Fiscus | Dietitian, Registered | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2020-02-06 |
| 1215572979 | Isioma Oladunni Nosegbe | Physician Assistant | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2019-11-16 |
| 1053956656 | Adam Jones | Physician Assistant | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2019-11-07 |
| 1437717295 | Vanessa D Scott | Nurse Practitioner | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2019-06-05 |
| 1881250058 | Olivia Lyn Beaver | Nurse Practitioner | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2019-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255990578 | Caitlin Patricia Soucy | Physician Assistant | 385 W Main St, Avon, CT 06001-4357 | 2019-06-11 |
| 1881257061 | Joseph Downs | Physician Assistant | 385 W Main St, Avon, CT 06001-4357 | 2019-04-15 |
| 1306301668 | Melissa L Judd | Physician Assistant | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2019-01-31 |
| 1962976928 | Arielle Marie Brown | Physician Assistant | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2019-01-13 |
| 1487123956 | Sydney F Richards | Physician Assistant | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2018-11-14 |
| 1891262929 | Julia Kathryn Carson | Physician Assistant | 470 Collins St, Avon, NY 14414-1466 | 2018-10-26 |
| 1093292351 | Audra Lucille Cokain | Physician Assistant | 8244 E Us Highway 36 Ste 1100, Avon, IN 46123-9627 | 2018-07-19 |
| 1669961736 | Ashley Corridori | Physician Assistant | 385 W Main St, Avon, CT 06001-4357 | 2018-05-04 |
| 1164928784 | Rebecca Corridori | Physician Assistant | 385 W Main St, Avon, CT 06001-4357 | 2018-04-03 |
| 1619406675 | Alexander Ashe | Physician Assistant | 385 W Main St, Avon, CT 06001-4357 | 2017-06-05 |
| Find all providers in AVON | ||||
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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.