JANET HARTGROVE


Address: 611 East Douglas Road, Suite 405, Mishawaka, IN 45645-1468
Phone: 5743356240

JANET HARTGROVE (NPI# 1669781084) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
71003393A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 201024060 05
IN BCBS 000000796168 01

Office Location

Street Address 611 EAST DOUGLAS ROAD
SUITE 405
City MISHAWAKA
State IN
Zip Code 45645-1468

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City MISHAWAKA
Zip Code 45645

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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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