KRISHA ANNE RETHERFORD


Address: 4548 Sundance Trl, Indianapolis, IN 46239-9716
Phone: 3179102059

KRISHA ANNE RETHERFORD (NPI# 1629688718) 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) 1629688718
Entity Type Individual
Full Name KRISHA ANNE RETHERFORD
Practice Address 4548 Sundance Trl
Indianapolis
IN 46239-9716
Practice Telephone 3179102059
Mailing Telephone 3179102059
Enumeration Date 2020-08-04
Last Update Date 2020-08-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 4548 SUNDANCE TRL
City INDIANAPOLIS
State IN
Zip Code 46239-9716

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1033514880 Deanna Warren Behavioral Analyst 8355 Chesterhill Lane, Indianapolis, IN 46239 2014-10-22
1972851566 Breathing Space, Inc Clinic/Center 8627 Blue Marlin Drive, Indianapolis, IN 46239 2012-08-29
1831355668 Hook-superx, L.L.C. Durable Medical Equipment & Medical Supplies 7935 Brookville Road, Indianapolis, IN 46239 2008-07-31
1780702407 James Bryant Wines Dentist 3416 S Post Rd, Suite C, Indpls, IN 46239 2007-03-27
1699223461 World Changing Nurses Voluntary or Charitable 1030 S Mitchner Ave, Indianapolis, IN 46239-1160 2016-09-21
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255938197 Christopher Rodney West Student in an Organized Health Care Education/Training Program 8616 Burrell Ln, Indianapolis, IN 46256-6306 2020-10-05
1285241828 Paris Janee Avant Student in an Organized Health Care Education/Training Program 8926 Mario Creek Dr, Indianapolis, IN 46234 2020-09-28
1992318158 Maria Yvette Borden Student in an Organized Health Care Education/Training Program University of Indianapolis, Health Pavilion 253, Indianapolis, IN 46217 2020-08-27
1457963563 Janelle M Bonitati Student in an Organized Health Care Education/Training Program 914 E 50th St, Indianapolis, IN 46205-1112 2020-08-19
1740806132 Vanessa Renee Ianson Student in an Organized Health Care Education/Training Program 325 Bangor Dr, Indianapolis, IN 46227-2423 2020-06-22
1881219475 Stephanie Scalf Student in an Organized Health Care Education/Training Program 4912 E 69th St, Indianapolis, IN 46220-3826 2020-06-10
1831719863 Austin Martin Henderson Student in an Organized Health Care Education/Training Program 1520 N Senate Ave Dept Of, Indianapolis, IN 46202-2213 2020-04-20
1194344572 Kaitlyn Edwards Student in an Organized Health Care Education/Training Program 705 Riley Hospital Dr # 5837, Indianapolis, IN 46202-5109 2020-04-15
1700405347 Russell Reed Student in an Organized Health Care Education/Training Program 1120 W Michigan St Ste 630, Indianapolis, IN 46202-5209 2020-04-14
1538788500 Sundus Imran Student in an Organized Health Care Education/Training Program 401 N Senate Ave Unit 343, Indianapolis, IN 46204-1249 2020-04-10
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Competitor

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City INDIANAPOLIS
Zip Code 46239

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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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