MRS. JANET ROSE HITZEMAN (NPI# 1588655534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588655534 |
Entity Type | Individual |
Full Name | MRS. JANET ROSE HITZEMAN |
Credential | NP |
Practice Address |
1001 E 17th St Bloomington IN 47408-1590 |
Mailing Address |
3609 E Blue Bird Ln Bloomington IN 47401-9672 |
Practice Telephone | 8128554509 |
Practice Fax Number | 8128551810 |
Mailing Telephone | 8123343335 |
Mailing Fax Number | 8128551810 |
Enumeration Date | 2005-10-31 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
71000113A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1001 E 17TH ST |
City | BLOOMINGTON |
State | IN |
Zip Code | 47408-1590 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659376424 | Andy S. Hipskind | Family Medicine | 1001 E 17th St, Bloomington, IN 47408-1590 | 2005-06-16 |
1831757541 | Hannah Nicole Miller | Specialist/Technologist | 1001 E 17th St, Bloomington, IN 47408-1590 | 2019-05-29 |
1528525920 | Jacob Steven Laverman | Physical Therapist | 1001 E 17th St, Bloomington, IN 47408-1590 | 2019-02-22 |
1730671934 | Lewis Meyer Young | Neuromusculoskeletal Medicine, Sports Medicine | 1001 E 17th St, Bloomington, IN 47408-1590 | 2018-06-04 |
1811404171 | Jacob Riley Proffer | Specialist/Technologist | 1001 E 17th St, Bloomington, IN 47408-1590 | 2018-01-08 |
1376057083 | Katherine Adair O'donnell | Specialist/Technologist | 1001 E 17th St, Bloomington, IN 47408-1590 | 2017-11-17 |
1003341918 | Jonathan Wicks | Psychiatry & Neurology | 1001 E 17th St, Bloomington, IN 47408-1590 | 2017-04-28 |
1396277240 | Athletico, Ltd. | Physical Therapist | 1001 E 17th St, Bloomington, IN 47408-1590 | 2017-03-30 |
1003354242 | Mitch Taffe | Specialist/Technologist | 1001 E 17th St, Athletic Training, Bloomington, IN 47408-1590 | 2017-02-08 |
1992170898 | John Pauer | Specialist/Technologist | 1001 E 17th St, Bloomington, IN 47408-1590 | 2015-12-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669079398 | Ta-kisha Jones | Health Educator | 309 N. Woodlawn Ave, Bloomington, IN 47408 | 2020-10-06 |
1265915904 | Meghan Elizabeth Kinkead | Specialist/Technologist | Simon Skjodt Assembly Hall, 1001 East 17th Street, Bloomington, IN 47408 | 2018-09-10 |
1316499395 | Marabai Rose Counseling, LLC | Social Worker | 4568 East State Rd 45, Bloomington, IN 47408 | 2016-10-26 |
1295133908 | Eden Embree | Specialist/Technologist | 1001 E. 17th Street, Assembly Hall, Bloomington, IN 47408 | 2014-12-11 |
1588995229 | Create-a-smile PC | Dentist | 219 E. 17th St., Bloomington, IN 47408 | 2010-01-20 |
1609053289 | Laurette Frazier | Counselor | 2815 E. 10th Street, Stone Belt, Bloomington, IN 47408 | 2008-01-26 |
1770709917 | Robin A. Roberts | Dentist | 104 E. 19th Street, Bloomington, IN 47408 | 2007-04-17 |
1376614008 | David Rudolf Fletcher | General Practice | 126 S. Hampton Ct, Bloomington, IN 47408 | 2006-11-13 |
1114013752 | Christole, Inc | Intermediate Care Facility, Mentally Retarded | 2727 N Dunn, Bloomington, IN 47408 | 2006-10-04 |
1003850322 | Priti V Jindal | Internal Medicine | 2455 N Tamarack Trl, Bloomington, IN 47408 | 2006-06-16 |
Find all providers in zip 47408 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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1861035685 | Tara Malinowski | Nurse Practitioner | 2502 E Empire St, Bloomington, IL 61704-3738 | 2019-10-24 |
1164957338 | Amanda Butcher | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403 | 2017-04-25 |
1033652243 | Sonal Mukesh Patel | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2016-11-21 |
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1942809140 | Indiana Suburban Visiting Physician Services | Nurse Practitioner | 5 Washington St Ste 300, Valparaiso, IN 46383-4769 | 2020-10-20 |
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1497382030 | Toya Jamillah Woods | Nurse Practitioner | 3814 Grant St, Gary, IN 46408-2150 | 2020-03-24 |
1558905554 | Amy Hueston | Nurse Practitioner | 313 S Berkley Rd, Kokomo, IN 46901-5114 | 2019-11-01 |
1891338166 | Jayme Lantz | Nurse Practitioner | 20085 Turquoise Ln, Goshen, IN 46528-6294 | 2019-10-19 |
1033761770 | Workplace Health Services | Nurse Practitioner | 1632 W. In-28, Frankfort, IN 46041 | 2019-07-12 |
1164984597 | Care At Home LLC | Nurse Practitioner | 717 Washington Park Blvd, Michigan City, IN 46360-2056 | 2019-04-04 |
1255815379 | Amanda Kay Goins | Nurse Practitioner | 3919 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-6811 | 2018-09-25 |
1972084267 | Kelly Sue Ann Peasley | Nurse Practitioner | 2101 Jackson St Ste 8, Anderson, IN 46016-4341 | 2018-08-24 |
1891271466 | Hilton Health Housecall LLC | Nurse Practitioner | 4340 Trace Wood Dr, Indianapolis, IN 46254-6238 | 2018-07-17 |
Find all providers with the same taxonomy |
City | BLOOMINGTON |
Zip Code | 47408 |
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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.