CHRISTA JO WALL (NPI# 1588949762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588949762 |
| Entity Type | Individual |
| Full Name | CHRISTA JO WALL |
| Credential | FNP-BC |
| Practice Address |
3550 W Fox Ridge Ln Muncie IN 47304-5205 |
| Practice Telephone | 6571753997 |
| Practice Fax Number | 7652166774 |
| Mailing Telephone | 6571753997 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71003894A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3550 W FOX RIDGE LN |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932220035 | Tarek Kteleh | Specialist | 3550 W Fox Ridge Ln, Muncie, IN 47304-5205 | 2007-04-03 |
| 1306334255 | Medical Group of Indiana LLC | Internal Medicine | 3550 W Fox Ridge Ln, Muncie, IN 47304-5205 | 2018-04-26 |
| 1114324506 | Diane Margaret Martel | Nurse Practitioner | 3550 W Fox Ridge Ln, Muncie, IN 47304-5205 | 2014-12-01 |
| 1801170063 | Kasie N Power | Physician Assistant | 3550 W Fox Ridge Ln, Muncie, IN 47304-5205 | 2011-10-06 |
| 1609159730 | Deborah Ann Peterson | Physician Assistant | 3550 W Fox Ridge Ln, Muncie, IN 47304-5205 | 2011-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013569821 | Amy J Dockrey | Nurse Practitioner | 2525 W University Ave Ste 403, Muncie, IN 47303-3409 | 2019-07-11 |
| 1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
| 1568960680 | April Nicole Mcelroy-rubush | Nurse Practitioner | 1500 Neely Avenue, Muncie, IN 47306-0001 | 2018-01-23 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1093915613 | Claudia Jane Fenoglio | Nurse Practitioner | 3631 N Morrison Rd Ste 200, Muncie, IN 47304-5547 | 2007-07-22 |
| 1639244817 | Karen Ann Meyers | Nurse Practitioner | 110 N Tillotson Avenue, Muncie, IN 47304-3988 | 2006-11-22 |
| 1235740846 | Kalee Danielle Gerber | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-08-17 |
| 1376151456 | Curtis Lee Laws | Nurse Practitioner | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2020-07-15 |
| 1043838261 | Bailey Noel Cole | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-07-14 |
| 1205454857 | Dylan L Holcomb | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-07-10 |
| Find all providers in MUNCIE | ||||
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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.