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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
4548 SUNDANCE TRL |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46239-9716 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184223075 | Hope Transitional Services LLC | Behavioral Analyst | 10737 Jimmy Lake Dr, Indianapolis, IN 46239 | 2020-10-21 |
1750854873 | Brooke Stevenson | Student in an Organized Health Care Education/Training Program | 8431 Redfern South Drive, Indianapolis, IN 46239 | 2019-01-11 |
1316429764 | Rachel Rutledge | Occupational Therapist | 10335 Corydon Ct, Indianapolis, IN 46239 | 2018-09-02 |
1073042404 | Hearst Contracting Services Ltd | Transportation Broker | 8655 Shadow Ridge Lane, G, Indianapolis, IN 46239 | 2017-06-08 |
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 |
1700892155 | Ardis Conrad Melloh | Dentist | 7101 Southeastern Ave, Indianapolis, IN 46239-1207 | 2006-07-31 |
Find all providers in zip 46239 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
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] |
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 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46239 |
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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.