SUE ANN BICKLEY (NPI# 1801188743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801188743 |
| Entity Type | Individual |
| Full Name | SUE ANN BICKLEY |
| Credential | NP |
| Practice Address |
615 N Michigan St Fl 1 South Bend IN 46601-1033 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5746473050 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2019-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
71009218A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
28085351 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE PTAN | 261970120 | 01 |
| IN | 201026570 | 05 |
| Street Address |
615 N MICHIGAN ST FL 1 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710937388 | Sunday Osunnuga | Emergency Medicine | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2006-05-12 |
| 1073159174 | Yolanda Kelbel | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2019-11-23 |
| 1730741687 | Kassi J Brooks | Genetic Counselor, MS | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2019-07-01 |
| 1780192922 | Michelle Mccauley | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2018-01-22 |
| 1952814113 | Alison Haffner | Registered Nurse | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2017-11-09 |
| 1073048260 | Shelby L Towner | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2017-04-25 |
| 1518316637 | Ryan D. Enck | Family Medicine | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2016-06-09 |
| 1730547738 | Amy Hertzler Deel | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601 | 2016-02-04 |
| 1528431632 | Tracy Lynne Mcneill | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2015-11-11 |
| 1194102723 | Patricia C Osmolak | Internal Medicine | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2015-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770981201 | Jamie Hembrecht | Nurse Practitioner | 615 N Michigan St Hospitalist Suite 1st Floor, South Bend, IN 46601-1033 | 2014-12-16 |
| 1679716534 | Amber Michelle Wallace | Nurse Practitioner | 615 N. Michigan St.- 1st Floor Hospitalist Suite, South Bend, IN 46601-1469 | 2009-04-08 |
| 1538717848 | Emily Mastelou-page | Nurse Practitioner | 615 N Michigan St, South Bend, IN 46601-1033 | 2019-08-29 |
| 1780192922 | Michelle Mccauley | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2018-01-22 |
| 1275847790 | Rebecca S. Byers | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601 | 2010-07-27 |
| 1477735629 | Anne Schaap | Nurse Practitioner | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2007-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174817563 | Regina Ann Rogers | Nurse Practitioner | 2520 East Dupont Road, Nicu, Fort Wayne, IN 46825 | 2011-06-03 |
| 1356942056 | Catherine Marie Boggs | Nurse Practitioner | 720 Eskenazi Ave, Indianapolis, IN 46202-5187 | 2020-11-08 |
| 1265050207 | Katelyn R. Redman | Nurse Practitioner | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-07 |
| 1245857796 | Heather Dawn Fitch | Nurse Practitioner | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2020-07-01 |
| 1891327730 | Claire Richey | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2020-02-09 |
| 1184286791 | Casey Joanne Callahan | Nurse Practitioner | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2019-07-03 |
| 1770144347 | Kari L. Lappin | Nurse Practitioner | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2019-06-25 |
| 1881254993 | Danielle Marie Mcmonagle | Nurse Practitioner | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2019-06-20 |
| 1952960908 | Jessica Jo Whitesell | Nurse Practitioner | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2019-06-12 |
| 1952960171 | Emily M Anderson | Nurse Practitioner | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
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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.