STEPHANIE RUTALLIE (NPI# 1710185756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710185756 |
| Entity Type | Individual |
| Full Name | STEPHANIE RUTALLIE |
| Credential | RN, MSN, AGPC-NP |
| Practice Address |
9560 E 59th St Indianapolis IN 46216-1010 |
| Mailing Address |
2624 Braxton Dr Indianapolis IN 46229-5513 |
| Practice Telephone | 3176211700 |
| Practice Fax Number | 3176211711 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28165299A | IN | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
28165299A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
28165299A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
28165299A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8060 Knue Rd Ste 110, Indianapolis, IN 462501938 | 3178427435 |
| Street Address |
9560 E 59TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46216-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821076530 | Barbara J Walling | Nurse Practitioner | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2006-01-03 |
| 1144677253 | Michael Burke | Social Worker | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2016-05-18 |
| 1124315924 | Danielle Marie Watkins | Family Medicine | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2011-06-30 |
| 1225328503 | Anthony Christopher Arata | Family Medicine | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2011-04-07 |
| 1649592882 | Christa M Ford | Social Worker | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2010-02-15 |
| 1679598171 | Community Hospitals of Indiana Inc | Family Medicine | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2006-07-13 |
| 1992770978 | Vinod A Pallekonda | Family Medicine | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2006-02-22 |
| 1356315014 | Mary Lou Hulseman | Family Medicine | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2006-02-17 |
| 1790758589 | Charles M Platz | Family Medicine | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2006-02-10 |
| 1003888959 | Robert Kiess Newton | Family Medicine | 9560 E 59th St, Indianapolis, IN 46216-1010 | 2006-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435292 | Wickshire Fort Harrison Opco LLC | Assisted Living Facility | 8025 Doubleday Drive, Indianapolis, IN 46216 | 2020-01-02 |
| 1851875546 | Andrew David Power | Dentist | 5869 Lawton Loop East Drive, Indianapolis, IN 46216 | 2018-09-19 |
| 1366938417 | Alidde Alouidor | Social Worker | 9801 E 59th St, Indianapolis, IN 46216 | 2018-07-02 |
| 1548779663 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 9140 Harrison Park Ct, Indianapolis, IN 46216 | 2017-09-20 |
| 1184835852 | Toby A Zirkle | Family Medicine | 8205 E 56th St Ste 100, Indianapolis, IN 46216 | 2007-05-24 |
| 1922178995 | Physiotherapy Associates | Physical Therapist | 5665 North Post Rd. Suite 100, Indianapolis, IN 46216 | 2006-11-08 |
| 1871562645 | Richard Clark Perry | Internal Medicine | 8205 E 56th Street, Suite 100, Indianapolis, IN 46216 | 2006-03-15 |
| 1902420532 | Carole Christine Corder | Dietitian, Registered | 8205 E 56th St, Suite 100, Indianapolis, IN 46216 | 2020-05-29 |
| 1821301300 | Robin Girdhar | Internal Medicine | 8205 E 56th St, Ste 100, Indianapolis, IN 46216 | 2010-07-26 |
| 1306949086 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 5605 N Post Rd, Indianapolis, IN 46216-1002 | 2006-09-07 |
| Find all providers in zip 46216 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851852727 | Carmen Lagaye Bogle | Nurse Practitioner | 1050 W 72nd St, Indianapolis, IN 46260-4037 | 2019-03-25 |
| 1861991176 | Kimberly S Houchens | Nurse Practitioner | 135 N Pennsylvania St Ste 1610, Indianapolis, IN 46204-2448 | 2018-02-02 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1194259879 | Bahtrena Rogers | Nurse Practitioner | 9302 Budd Run Dr, Indianapolis, IN 46250-1322 | 2017-04-19 |
| 1538512090 | Martita Rolanda Meeks | Nurse Practitioner | 7240 Shadeland Sta Ste 300, Indianapolis, IN 46256-3944 | 2016-07-20 |
| 1194177022 | Stephanie R Young | Nurse Practitioner | 8360 S Emerson Ave Ste 100, Indianapolis, IN 46237-8746 | 2016-07-03 |
| 1114394426 | Tamara Sue Roberts | Nurse Practitioner | 7911 N Michigan Road, Indianapolis, IN 46268-1360 | 2015-08-24 |
| 1023426780 | Lesli White | Nurse Practitioner | 1 Allison Way, Indianapolis, IN 46222-3271 | 2014-07-25 |
| 1386070274 | Kimberly Demasie | Nurse Practitioner | 7520 E 88th Pl, Suite 101, Indianapolis, IN 46256-1253 | 2013-09-24 |
| 1669788204 | Shannon L Childers-page | Nurse Practitioner | 1701 N Senate Blvd # A5231, Indianapolis, IN 46202-1239 | 2010-08-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46216 |
Please comment or provide details below to improve the information on STEPHANIE RUTALLIE.
| 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.