AMY M ETHRIDGE (NPI# 1578022109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578022109 |
| Entity Type | Individual |
| Full Name | AMY M ETHRIDGE |
| Credential | NP |
| Practice Address |
520 S 7th St Vincennes IN 47591-1038 |
| Mailing Address |
1160 E Saint Clair St Vincennes IN 47591-4853 |
| Practice Telephone | 8128866565 |
| Practice Fax Number | 8128866566 |
| Mailing Telephone | 8128853106 |
| Mailing Fax Number | 8128858499 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2020-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 28188405A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300027459 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396044426 | Amy Cole Ethridge | Nurse Practitioner | 480 Honeysuckle Rd, Dothan, AL 36305-1156 | 2011-03-15 |
| Street Address |
520 S 7TH ST |
| City | VINCENNES |
| State | IN |
| Zip Code | 47591-1038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225032881 | Good Samaritan Hospital | General Acute Care Hospital | 520 S 7th St, Vincennes, IN 47591-1038 | 2005-06-10 |
| 1053931048 | Sonja Marie Johnson | Student in an Organized Health Care Education/Training Program | 520 S 7th St, Vincennes, IN 47591-1038 | 2020-04-20 |
| 1902425804 | Dustin James Craney | Student in an Organized Health Care Education/Training Program | 520 S 7th St, Vincennes, IN 47591-1038 | 2020-04-10 |
| 1811524606 | James K Mauchley | Student in an Organized Health Care Education/Training Program | 520 S 7th St, Vincennes, IN 47591-1038 | 2020-03-24 |
| 1609402684 | Andrews Adjapong | Student in an Organized Health Care Education/Training Program | 520 S 7th St, Vincennes, IN 47591-1038 | 2020-03-21 |
| 1932735933 | Ana Salabasheva | Student in an Organized Health Care Education/Training Program | 520 S 7th St, Vincennes, IN 47591-1038 | 2020-03-21 |
| 1114553138 | Scott Jeffrey Fraser | Student in an Organized Health Care Education/Training Program | 520 S 7th St, Vincennes, IN 47591-1038 | 2020-03-21 |
| 1164058152 | Chiew-jen Ong | Student in an Organized Health Care Education/Training Program | 520 S 7th St, Vincennes, IN 47591-1038 | 2020-03-21 |
| 1558997668 | Elizabeth Lee Cho | Student in an Organized Health Care Education/Training Program | 520 S 7th St, Vincennes, IN 47591-1038 | 2020-03-20 |
| 1134755234 | Alexander Broady | Student in an Organized Health Care Education/Training Program | 520 S 7th St, Vincennes, IN 47591-1038 | 2020-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688484 | Mary Alsakka | Pharmacist | 602 Kimmell Rd, Vincennes, IN 47591 | 2020-10-30 |
| 1265053854 | Hamilton Center Inc. | Clinic/Center | 1433 Willow Street, Vincennes, IN 47591 | 2020-05-05 |
| 1134690654 | Deaconess Hospital Inc | Durable Medical Equipment & Medical Supplies | 516 S. 9th St, Vincencces, IN 47591 | 2018-12-10 |
| 1730612698 | Advanced Pain Care Clinic Psc | Pain Medicine | 1813 Willow St Ste 3b, Vincennes, IN 47591 | 2017-04-07 |
| 1033566203 | Jennifer Hoyt | Nurse Practitioner | 1813 Willow St Ste 3a, Vincennes, IN 47591 | 2016-05-18 |
| 1821469602 | Riverside Family Clinic, Inc | Nurse Practitioner | 328 N 2nd St, Suite 102, Vincennes, IN 47591 | 2015-10-19 |
| 1902205594 | Kathleen Garner | Physical Therapy Assistant | 3901 Old Bruceville Road, Vincennes, IN 47591 | 2014-08-19 |
| 1467703645 | Molly Ann Barth | Speech-Language Pathologist | 3801 Old Bruceville Road, Vincennes, IN 47591 | 2012-09-27 |
| 1083965776 | Tiffany Renee Neukam | Occupational Therapist | 1900 College Ave., Vincennes, IN 47591 | 2012-09-21 |
| 1396057089 | Jericho Lynn Quick | Optometrist | 1813 Willow St Ste 2a, Vincennes, IN 47591 | 2010-07-09 |
| Find all providers in zip 47591 | ||||
| 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 |
|---|---|---|---|---|
| 1457964751 | Amber Nicole Garner | Nurse Practitioner | 1813 Willow St Ste 3b, Vincennes, IN 47591-4276 | 2020-08-26 |
| 1083170161 | Emily Jo Bobe | Nurse Practitioner | 700 Willow St Ste 203, Vincennes, IN 47591-1029 | 2019-02-14 |
| 1477035509 | Britni Lynn Roark | Nurse Practitioner | 514 S 9th St, Vincennes, IN 47591-2709 | 2018-09-05 |
| 1659853273 | Kelsey Dawn Mccaslin | Nurse Practitioner | 520 S 7th St, Vincennes, IN 47591-1038 | 2018-08-30 |
| 1417495300 | Stephanie Lowrance | Nurse Practitioner | 520 S 7th St, Vincennes, IN 47591 | 2017-02-10 |
| 1205225554 | Minsun Kim | Nurse Practitioner | 520 S 7th St, Vincennes, IN 47591-1038 | 2015-01-09 |
| 1669812038 | Patricia B Ochs | Nurse Practitioner | 520 S 7th St, Vincennes, IN 47591-1038 | 2013-07-01 |
| 1225235195 | Emma Ray Engel | Nurse Practitioner | 1901 Willow St, Vincennes, IN 47591-4277 | 2007-07-02 |
| 1770648883 | Rebecca Ann Akers | Nurse Practitioner | 700 Willow St, Suite 200, Vincennes, IN 47591-1028 | 2006-12-27 |
| 1548339005 | Andrea Lynn Miller | Nurse Practitioner | 406 N 1st St, Vincennes, IN 47591-1340 | 2006-11-07 |
| Find all providers in VINCENNES | ||||
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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.