PATRICIA M NIETCH (NPI# 1841216363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841216363 |
| Entity Type | Individual |
| Full Name | PATRICIA M NIETCH |
| Credential | NP |
| Practice Address |
215 W 4th St Mishawaka IN 46544-1917 |
| Mailing Address |
801 E Lasalle Ave South Bend IN 46617-2814 |
| Practice Telephone | 5742395277 |
| Mailing Telephone | 5742395277 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71000636A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200292400 | 05 |
| Street Address |
215 W 4TH ST |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043291693 | River Bend Anesthesia, LLC | Anesthesiology | 215 W 4th St, Mishawaka, IN 46544-1917 | 2005-11-10 |
| 1336502913 | Select Specialty Hospital - Northern Indiana, LLC | Hospitalist | 215 W 4th St, 2nd Fl, Mishawaka, IN 46544-1917 | 2016-04-01 |
| 1316306178 | Select Specialty Hospital - Northern Indiana, LLC | Long Term Care Hospital | 215 W 4th St, 2nd Floor, Mishawaka, IN 46544-1917 | 2016-02-22 |
| 1356687164 | Sound Physicians of Indiana, LLC | Family Medicine | 215 W 4th St, # 200, Mishawaka, IN 46544-1917 | 2012-12-26 |
| 1346538824 | Knd Development 59 LLC | Hospitalist | 215 W 4th St, Mishawaka, IN 46544-1917 | 2011-07-18 |
| 1679876940 | Triumph Rehabilitation Hospital Northern Indiana LLC | Rehabilitation Hospital | 215 W 4th St, Suite 200, Mishawaka, IN 46544-1917 | 2010-12-08 |
| 1194978940 | Scci Hospitals of America, LLC | Long Term Care Hospital | 215 W 4th St, Mishawaka, IN 46544 | 2008-10-24 |
| 1609072982 | Sandra A. Cho, Dpm, LLC | Podiatrist | 215 W 4th St, Mishawaka, IN 46544-1917 | 2007-06-25 |
| 1760560114 | Christina Kaye Senff | Dietitian, Registered | 215 W 4th St, Mishawaka, IN 46544-1917 | 2006-11-02 |
| 1760437461 | Saint Joseph Community Hospital of Mishawaka Inc | Skilled Nursing Facility | 215 W 4th St, Mishawaka, IN 46544-1917 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| 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 |
|---|---|---|---|---|
| 1326650052 | Rosemary Gathungu | Nurse Practitioner | 1113 Mossy Ln, Mishawaka, IN 46544-9055 | 2020-08-24 |
| 1194348995 | Molly Pestow | Nurse Practitioner | 611 E Douglas Rd Ste 309, Mishawaka, IN 46545-1467 | 2020-05-27 |
| 1558916668 | Jordan Thomas Alberda | Nurse Practitioner | 5215 Holy Cross Pkwy, Mishawaka, IN 46545 | 2019-08-06 |
| 1851899140 | Marie Antoinette Kennedy | Nurse Practitioner | 611 E Douglas Rd Ste 208, Mishawaka, IN 46545-1465 | 2018-02-01 |
| 1518408137 | Lyndsay Gable | Nurse Practitioner | 611 E Douglas Rd, Suite 308, Mishawaka, IN 46545-1464 | 2017-03-15 |
| 1174060222 | Evonne Higdon | Nurse Practitioner | 611 E Douglas Rd Ste 208, Mishawaka, IN 46545-1465 | 2017-01-27 |
| 1740646348 | Renata Robertson | Nurse Practitioner | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2016-01-12 |
| 1578934402 | Timothy Primrose | Nurse Practitioner | 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 2015-10-19 |
| 1750770053 | Kristene Qualls | Nurse Practitioner | 524 E Mckinley Ave, Mishawaka, IN 46545-6285 | 2015-01-10 |
| 1558762476 | Kenlyn Marie Laureys | Nurse Practitioner | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 | 2014-09-10 |
| Find all providers in MISHAWAKA | ||||
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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.