JANET HARTGROVE (NPI# 1669781084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669781084 |
Entity Type | Individual |
Full Name | JANET HARTGROVE |
Credential | BSN, CPNP |
Practice Address |
611 East Douglas Road Suite 405 Mishawaka IN 45645-1468 |
Mailing Address |
707 E Cedar St Suite 200 South Bend IN 46617-2057 |
Practice Telephone | 5743356240 |
Practice Fax Number | 5743356241 |
Mailing Telephone | 5743358700 |
Mailing Fax Number | 5743358760 |
Enumeration Date | 2010-10-04 |
Last Update Date | 2017-02-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
71003393A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201024060 | 05 | |
IN | BCBS | 000000796168 | 01 |
Street Address |
611 EAST DOUGLAS ROAD SUITE 405 |
City | MISHAWAKA |
State | IN |
Zip Code | 45645-1468 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578692794 | Lynn Davis Figg | Nurse Practitioner | 611 East Douglas Road, Suite 405, Mishawaka, IN 46545-1468 | 2007-03-05 |
1336467612 | Stephanie Terese Malley | Dietitian, Registered | 611 East Douglas Road, Suite 405, Mishawaka, IN 46545-1468 | 2010-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801447123 | Edith Humphreys | Technician | 4766 County Road 6, Kitts Hill, OH 45645 | 2019-09-27 |
1487920971 | Tiffany Lea Ann Depriest | Licensed Practical Nurse | 6405 St. Rt. 522, Kitts Hill, OH 45645 | 2012-03-28 |
1073726758 | Kimberly Sue Justice | Home Health Aide | 56 County Rd. 8, Kitts Hill, OH 45645 | 2007-05-08 |
1871706705 | Martha J Pack | Home Health Aide | 8069 Co Rd 6, Kitts Hill, OH 45645 | 2007-05-07 |
1689886590 | Amiee D Pack | Home Health Aide | 6784 State Route 141, Kitts Hill, OH 45645 | 2007-05-04 |
1467575258 | Gail Marie Ash | Home Health Aide | 801 Cr 61, Kitts Hill, OH 45645 | 2007-04-09 |
1447341367 | Charles Albert Reger | Audiologist | 425 Park Place Circle, Suite 200, Mishawaka, IN 45645 | 2006-09-27 |
1245403179 | Marsha Lynn Wagner | Registered Nurse | 870 Township Road 237, Kitts Hill, OH 45645-8520 | 2008-04-11 |
1679748842 | Jessica Dawn Fout | Licensed Practical Nurse | 2177 County Road 19, Kitts Hill, OH 45645-8524 | 2008-04-28 |
1558767566 | Danelle Mullins | Occupational Therapy Assistant | 6668 State Route 141, Kitts Hill, OH 45645-8611 | 2014-11-18 |
Find all providers in zip 45645 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043822844 | Kelsey M Knight | Nurse Practitioner | 705 Riley Hospital Dr Ste 1601, Indianapolis, IN 46202-5109 | 2020-08-21 |
1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
1700420031 | Randi D Bragg | Nurse Practitioner | Marion Pediatrics, 1411w Bella Drive, Marion, IN 46953-5250 | 2019-10-30 |
1659923761 | Elizabeth Marie Bowen | Nurse Practitioner | 13914 Southeastern Pkwy Ste 300, Fishers, IN 46037-7126 | 2019-07-10 |
1912462664 | Mindy Kay Krsak | Nurse Practitioner | 3229 Broadway Ste 205, Gary, IN 46409-1038 | 2019-02-06 |
1497221154 | Christina Ownbey | Nurse Practitioner | 517 Ball Dr Unit 302, Hanover, IN 47243-9656 | 2018-10-22 |
1578056842 | Jenna Elizabeth Bednarski | Nurse Practitioner | 3741 Rome Dr Ste B, Lafayette, IN 47905-4490 | 2018-06-12 |
1427594696 | Alecia A Woody | Nurse Practitioner | 3400 Lafayette Rd, Suite 200, Shalom Health Care Center Inc, Indianapolis, IN 46222-1146 | 2017-01-12 |
1043688211 | Mary Hendrix | Nurse Practitioner | 3118 S Lafountain St # At, Kokomo, IN 46902-3710 | 2015-09-04 |
1487022810 | Hannah Renfrow | Nurse Practitioner | 1411 W Bella Drive, Marion, IN 46953 | 2015-09-02 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on JANET HARTGROVE.
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.