MRS. KRISTA S NGUYEN (NPI# 1669936498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669936498 |
| Entity Type | Individual |
| Full Name | MRS. KRISTA S NGUYEN |
| Credential | NP-C |
| Practice Address |
3691 Willowcreek Rd Portage IN 46368-5076 |
| Mailing Address |
601 Gateway Blvd N Chesterton IN 46304-9658 |
| Practice Telephone | 2199211444 |
| Mailing Telephone | 2199211359 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 28197848A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 Gateway Blvd N, Chesterton, IN 463049658 | 2199211444 |
| Street Address |
3691 WILLOWCREEK RD |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-5076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194999896 | Lakeshore Bone & Joint Institute, PC | Specialist | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2008-04-15 |
| 1427672740 | Clark Tanner Bilbrey | Physical Therapist | 3691 Willowcreek Rd, Portage, IN 46368-5080 | 2020-06-02 |
| 1518459882 | Curtis Reid Munday | Physical Therapy Assistant | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2018-06-03 |
| 1487015525 | Ernest Delgado | Physical Therapy Assistant | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2016-03-17 |
| 1871954495 | Charles Hesser | Specialist/Technologist | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2016-03-09 |
| 1659730455 | Kathryn Dumortier | Physical Therapy Assistant | 3691 Willowcreek Rd, Suite 100, Portage, IN 46368-5076 | 2016-02-22 |
| 1699134874 | Joshua Eggleston | Physical Therapy Assistant | 3691 Willowcreek Rd, Suite 100, Portage, IN 46368-5076 | 2016-02-17 |
| 1710346929 | Joy Brown | Physical Therapy Assistant | 3691 Willowcreek Rd, Suite 100, Portage, IN 46368-5076 | 2016-02-16 |
| 1346672979 | Jared Wayne | Physical Therapist | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2013-08-06 |
| 1700197332 | Sandra Lee Woodworth | Physical Therapist | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2010-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275627713 | Mary Sullivan | Nurse Practitioner | 8001 Angling Road, Portage, MI 49024 | 2006-10-02 |
| 1730151978 | Julie Ann Olechnowicz | Nurse Practitioner | 8075 Creekside Dr Ste 120, Portage, MI 49024-5390 | 2006-02-02 |
| 1255333860 | Bonita J O'reilly | Nurse Practitioner | 8191 Moorsbridge Rd Ste A, Portage, MI 49024-7417 | 2005-08-12 |
| 1164047015 | Stephanie Jo Holt | Nurse Practitioner | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2020-06-16 |
| 1174185771 | Michael David Mccallister | Nurse Practitioner | 3770 Glenkerry Ct, Portage, MI 49024-0700 | 2019-07-03 |
| 1144880881 | Christina M Kemple-wascher | Nurse Practitioner | 7775 Angling Rd, Portage, MI 49024-7427 | 2019-06-14 |
| 1861987257 | Christine M Whelley | Nurse Practitioner | 2817 New Pinery Rd, Portage, WI 53901 | 2018-06-27 |
| 1356851570 | Laura L Noonan | Nurse Practitioner | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2017-10-02 |
| 1336663053 | Lana K Bretz | Nurse Practitioner | 2725 Airview Blvd Ste 105, Portage, MI 49002-1804 | 2017-08-03 |
| 1942743281 | Rachael B Booth | Nurse Practitioner | 2825 Hunters Trl, Portage, WI 53901-3429 | 2016-11-18 |
| Find all providers in PORTAGE | ||||
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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.