LORRAINE KAY WIDDALL (NPI# 1740230531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740230531 |
| Entity Type | Individual |
| Full Name | LORRAINE KAY WIDDALL |
| Credential | CNS |
| Practice Address |
8317 Calumet Ave Munster IN 46321-1737 |
| Practice Telephone | 2195132333 |
| Practice Fax Number | 2195131127 |
| Mailing Telephone | 2195132333 |
| Mailing Fax Number | 2195132334 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2015-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
28087637A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200473170 | 05 |
| Street Address |
8317 CALUMET AVE |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801845078 | Brian Mcclenic | Anesthesiology | 8317 Calumet Ave, Munster, IN 46321-1737 | 2006-05-08 |
| 1568642601 | Interventional Spine and Pain Centers, LLC | Anesthesiology | 8317 Calumet Ave, Suite A, Munster, IN 46321-1737 | 2007-11-06 |
| 1245336486 | Shariq M Ibrahim | Anesthesiology | 8317 Calumet Ave, Munster, IN 46321-1737 | 2006-09-15 |
| 1700838331 | Flexeon Rehabilitation of Munster, LLC | Clinic/Center | 8317 Calumet Ave, Munster, IN 46321-1737 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 364SM0705X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730248030 | Molly B Janovsky | Clinical Nurse Specialist | 901 Macarthur Blvd, Wound Ostomy Clinic, Munster, IN 46321-2901 | 2006-12-06 |
| 1639237407 | Opal K Porras | Clinical Nurse Specialist | 901 Macarthur Blvd, Would Ostomy Clinic, Munster, IN 46321-2901 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679977128 | Michael E Criswell | Clinical Nurse Specialist | 1500 Salem St, Lafayette, IN 47904-2164 | 2014-10-13 |
Please comment or provide details below to improve the information on LORRAINE KAY WIDDALL.
| 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.