LAVONNE EDDY (NPI# 1730266602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730266602 |
| Entity Type | Individual |
| Full Name | LAVONNE EDDY |
| Credential | NP |
| Practice Address |
315 W Old Key Dr Peru IN 46970-9057 |
| Practice Telephone | 7654756963 |
| Practice Fax Number | 7654752833 |
| Mailing Telephone | 7654756963 |
| Mailing Fax Number | 7654752833 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2014-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71000301 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200375930 | 05 |
| Street Address |
315 W OLD KEY DR |
| City | PERU |
| State | IN |
| Zip Code | 46970-9057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689602062 | William Charles Hoover | Family Medicine | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-06-28 |
| 1346621000 | Lisa Ann Jones | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2015-06-17 |
| 1780988428 | Elizabeth A. Jernagan | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2011-01-10 |
| 1558661744 | Doris M Carden | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2010-10-22 |
| 1043525009 | Fort Wayne Orthopedics, LLC | Orthopaedic Surgery | 315 W Old Key Dr, Suite 140, Peru, IN 46970-9058 | 2010-08-16 |
| 1003140419 | Alliance Healthcare Services Inc | Clinic/Center | 315 W Old Key Dr, Peru, IN 46970-9057 | 2009-10-01 |
| 1629247028 | Cancer Care Group, P.C. | Radiology | 315 W Old Key Dr, Suite 140, Peru, IN 46970-9057 | 2008-02-29 |
| 1255418125 | Lloyd Lorenz | Family Medicine | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-10-31 |
| 1134206014 | Michael Mull | Family Medicine | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-10-31 |
| 1013094994 | Heather Weber | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896311 | Christina M Van Meter | Pharmacist | 930 W Main St., Peru, IN 46970 | 2019-11-26 |
| 1821554585 | Thomas Gilbert Reaves | Counselor | 5851 S. Us-31, Lot 47, Peru, IN 46970 | 2019-02-18 |
| 1104154863 | American Foot and Ankle Inc | Durable Medical Equipment & Medical Supplies | 632 West Main Street, Peru, IN 46970 | 2009-11-18 |
| 1629208251 | Rafik Farag | Family Medicine | 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 | 2009-07-16 |
| 1508076050 | Peggy L Wert | Occupational Therapy Assistant | 850 Matador Drive, Peru, IN 46970 | 2007-05-23 |
| 1972690634 | Sherif Elmasry | Pediatrics | 655 N Broadway, Peru, IN 46970 | 2006-10-06 |
| 1548357320 | Belinda Diane Stonger | Hearing Instrument Specialist | 1 S. Broadway, Peru, IN 46970 | 2006-10-05 |
| 1134214083 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 315 West Old Key Drive, Peru, IN 46970 | 2006-10-04 |
| 1710082409 | Thomas J Guthrie | Dentist | 5 West Logan Street, Peru, IN 46970 | 2006-09-14 |
| 1750921938 | Christina Russell | Counselor | 1000 N Broadway Ste A, Peru, IN 46970 | 2020-01-15 |
| Find all providers in zip 46970 | ||||
| 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 |
|---|---|---|---|---|
| 1548770290 | Jennay Neeley Jones | Nurse Practitioner | 285 W 12th St Ste 103, Peru, IN 46970-1654 | 2017-10-09 |
| 1982669545 | Sharon Cooley | Nurse Practitioner | 1694 W Logansport Rd, Peru, IN 46970-3149 | 2006-04-18 |
| 1619435252 | Amy Lynn Smith | Nurse Practitioner | 925 West St, Peru, IL 61354-2757 | 2019-03-02 |
| 1467920330 | Anna Zofia Peek | Nurse Practitioner | 1436 Midtown Rd, Peru, IL 61354-1271 | 2018-11-08 |
| 1295212611 | Brentt Charles Vansickle | Nurse Practitioner | 1000 N Broadway, Peru, IN 46970-1070 | 2018-07-27 |
| 1073996039 | Melanie Zolman | Nurse Practitioner | 1000 N Broadway, Peru, IN 46970-1070 | 2015-07-08 |
| 1558661744 | Doris M Carden | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2010-10-22 |
| 1013094994 | Heather Weber | Nurse Practitioner | 315 W Old Key Dr, Peru, IN 46970-9057 | 2006-10-31 |
| 1558385047 | Monica Lynn Mcmain | Nurse Practitioner | 1694 W Logansport Rd, Peru, IN 46970-3149 | 2006-07-27 |
| 1841257102 | Lisa Comerford | Nurse Practitioner | 285 W 12th St, Ste. 205, Peru, IN 46970-1653 | 2006-04-28 |
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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.