CAROL LYNN PATTON (NPI# 1790121549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790121549 |
Entity Type | Individual |
Full Name | CAROL LYNN PATTON |
Credential | NP |
Practice Address |
8111 S Emerson Ave Fl 5 Indianapolis IN 46237 |
Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
Practice Telephone | 3175288930 |
Mailing Telephone | 3175284800 |
Mailing Fax Number | 3178651479 |
Enumeration Date | 2013-05-21 |
Last Update Date | 2019-09-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 28113039A | IN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71004499A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
71004499A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201181150 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1633 N Capitol Ave, Ste 301, Indianapolis, IN 462021476 | 3179630601 | 3179681152 |
601 W 2nd St, Bloomington, IN 474032317 | 8126764542 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487962585 | Carol Patton | Social Worker | 13601 Lesina Ct, Estero, FL 33928-6377 | 2010-09-23 |
1891796181 | Carol Margaret Patton | Nurse Practitioner | 320 E North Ave, Agh Emergency Assocs, Pittsburgh, PA 15212-4756 | 2005-08-09 |
Street Address |
8111 S EMERSON AVE FL 5 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46237 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851924435 | Lisa Goodman | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237-8601 | 2020-02-21 |
1497309942 | Brenda Sue Deangelis Boyd | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237-8601 | 2019-08-01 |
1215494331 | Christina Marie Mcgee | Registered Nurse | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237-8601 | 2019-02-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
1003178898 | Kyle Norris Seudeal | Surgery | 5255 E Stop 11 Rd Ste 450, Indianapolis, IN 46237 | 2012-06-08 |
Find all providers in zip 46237 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417567249 | Sarah E Munson | Nurse Practitioner | 1633 N Capitol Ave Ste 680, Indianapolis, IN 46202-1281 | 2020-08-06 |
1750844890 | Sarah Kathleen Cherry | Nurse Practitioner | 4326 Maldenhair Dr, Indianapolis, IN 46239-9033 | 2019-04-06 |
1184103459 | Katherine Rose Ahaus | Nurse Practitioner | 1801 Senate Blvd Ste 230, Indianapolis, IN 46202-1252 | 2018-08-08 |
1386197770 | Masita Isabel Poray | Nurse Practitioner | 5435 E 16th St Ste 500, Indianapolis, IN 46218-4869 | 2016-08-02 |
1316370612 | Paradigm Living Concepts, LLC | Nurse Practitioner | 8904 Bash St Ste B, Indianapolis, IN 46256-1286 | 2013-08-10 |
1902414709 | Michelle Nicole Gibson | Nurse Practitioner | 1801 N Senate Blvd, Indianapolis, IN 46202-1228 | 2020-07-17 |
1467081455 | Sarah Elizabeth Wheeler | Nurse Practitioner | 1801 N Senate Blvd Ste 635, Indianapolis, IN 46202-1212 | 2020-04-02 |
1154965531 | Monica Deryckere | Nurse Practitioner | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2019-10-29 |
1699318592 | Marcy Penrod | Nurse Practitioner | 8333 Naab Rd, Indianapolis, IN 46260-5924 | 2019-10-23 |
1124677000 | Amanda Marie Mccoy Ignaut | Nurse Practitioner | 1402 E County Line Rd, Indianapolis, IN 46227-0963 | 2019-09-04 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46237 |
Please comment or provide details below to improve the information on CAROL LYNN PATTON.
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.