ERIC L GLINES (NPI# 1568630127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568630127 |
| Entity Type | Individual |
| Full Name | ERIC L GLINES |
| Credential | ARNP |
| Practice Address |
4015 Gateway Blvd Ste 2120 Newburgh IN 47630-9460 |
| Mailing Address |
Po Box 1230 Evansville IN 47706-1230 |
| Practice Telephone | 8124640521 |
| Practice Fax Number | 8124640565 |
| Mailing Telephone | 8124925457 |
| Mailing Fax Number | 8124644485 |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2018-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 28144999A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200911350 | 05 | |
| ANTHEM | 000000559731 | 01 |
| Street Address |
4015 GATEWAY BLVD STE 2120 |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-9460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477041556 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4015 Gateway Blvd Ste 2120, Newburgh, IN 47630 | 2018-04-25 |
| 1467986844 | Linda Ann Green | Registered Nurse | 4015 Gateway Blvd Ste 2120, Newburgh, IN 47630-9460 | 2017-04-12 |
| 1104279975 | Rachel Lauren Burns | Nurse Practitioner | 4015 Gateway Blvd Ste 2120, Newburgh, IN 47630-9460 | 2016-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| 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 |
|---|---|---|---|---|
| 1356604268 | Sara K Dillon | Nurse Practitioner | 4133 Gateway Blvd Ste 220, Newburgh, IN 47630-7918 | 2012-06-18 |
| 1154577609 | Deaconess Hospital, Inc | Nurse Practitioner | 10455 Orthopaedic Drive, Newburgh, IN 47630 | 2008-08-15 |
| 1962665588 | Deaconess Hospital Inc | Nurse Practitioner | 4107 Gateway Blvd, Newburgh, IN 47630-8954 | 2008-07-03 |
| 1467622084 | Deirdre Mae Micker | Nurse Practitioner | 9 Hdsn Vly Prof Plz, Newburgh, NY 12550-3150 | 2008-03-11 |
| 1154514941 | Darla Speigner | Nurse Practitioner | 100 St Marys Epworth Xing Ste B100, Newburgh, IN 47630-9161 | 2007-08-24 |
| 1184672628 | Jacki L Wildeman | Nurse Practitioner | 4007 Gateway Blvd # 100, Newburgh, IN 47630-8947 | 2006-05-05 |
| 1316915978 | Karen R Brossman Bass | Nurse Practitioner | 8599 High Pointe Dr, Newburgh, IN 47630 | 2006-03-09 |
| 1598767915 | Susan Denise Mcdowell | Nurse Practitioner | 4133 Gateway Blvd, Suite 220, Newburgh, IN 47630-7953 | 2005-08-15 |
| 1487266326 | Tarah Bracher | Nurse Practitioner | 4133 Gateway Blvd Ste 290, Newburgh, IN 47630-7918 | 2020-08-21 |
| 1275145369 | Amy Sullivan | Nurse Practitioner | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2020-08-19 |
| Find all providers in NEWBURGH | ||||
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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.