MRS. JANET ROSE HITZEMAN


Address: 1001 E 17th St, Bloomington, IN 47408-1590
Phone: 8128554509

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1001 E 17TH ST
City BLOOMINGTON
State IN
Zip Code 47408-1590

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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
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NPI Name Taxonomy Address Enumeration
1669079398 Ta-kisha Jones Health Educator 309 N. Woodlawn Ave, Bloomington, IN 47408 2020-10-06
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City BLOOMINGTON
Zip Code 47408

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Dataset Information

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.

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