MARY REARDON (NPI# 1851663264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851663264 |
| Entity Type | Individual |
| Full Name | MARY REARDON |
| Credential | RN |
| Practice Address |
1481 W 10th St Indianapolis IN 46202-2803 |
| Mailing Address |
5722 Castle Hill Dr # 612 Indianapolis IN 46250-5602 |
| Practice Telephone | 3175540000 |
| Mailing Telephone | 3173630251 |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2012-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
28097017A | IN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073964219 | Mary Reardon | Counselor | 544 Main St, Bay St Louis, MS 39520-2730 | 2016-06-29 |
| 1336579440 | Mary Reardon | Physical Therapist | 533 S York St, Elmhurst, IL 60126-3951 | 2013-11-26 |
| 1417956731 | Mary Clare Reardon | Specialist | 2529 Glenn Hendren Dr, Suite 200, Liberty, MO 64068-9625 | 2005-07-19 |
| Street Address |
1481 W 10TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346244258 | Mildred Sue Mcmanus | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2005-06-08 |
| 1174124002 | Syreeta Diane Adams | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-11-06 |
| 1083214126 | Angela Marie Whereatt | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-10-28 |
| 1679173132 | Jennifer Smith | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-10-26 |
| 1043817745 | Leah Whitmire | Music Therapist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-10-06 |
| 1831705730 | Lynnette Rosa Biviano | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-09-17 |
| 1881208114 | Jessica Lee Fromm | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-09-03 |
| 1770193104 | Jordan Kirk Trively | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-07-31 |
| 1942819263 | Vanessa Marie Street | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-07-23 |
| 1831717248 | Allissa Long | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558842369 | Amanda Marie Boyd | Registered Nurse | 23 N Rural St Apt 101, Indianapolis, IN 46201-3279 | 2018-08-29 |
| 1184169591 | Jennifer Lee Barber | Registered Nurse | 705 Riley Hospital Dr Rm 5880, Indianapolis, IN 46202-5109 | 2016-12-21 |
| 1598021503 | Deborah Ann Mcglasson | Registered Nurse | 8155 Century Cir W, Suite A, Indianapolis, IN 46260-2584 | 2012-04-03 |
| 1669080198 | Amy A Logsdon | Registered Nurse | 1002 Wishard Blvd, Indianapolis, IN 46202-2872 | 2020-07-21 |
| 1497009823 | Sheryl L. Schwartzkopf | Registered Nurse | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2012-11-07 |
| 1194989467 | Kathleen Mary Roy | Registered Nurse | 1481 W 10th St, Pain Clinic, Indianapolis, IN 46202-2803 | 2008-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164949285 | John David Hrab | Registered Nurse | 51596 State Road 933, South Bend, IN 46637-1704 | 2017-08-29 |
| 1437474905 | Danielle M Thomas | Registered Nurse | 11419 Little Rock Ct, Fishers, IN 46037-8448 | 2010-03-29 |
| 1407170152 | Lori K Mccoy | Registered Nurse | 3044 Drewersburg Rd, West Harrison, IN 47060-9641 | 2010-03-24 |
| 1053504613 | Marlene Louise Cron | Registered Nurse | 499 W State Road 62, Boonville, IN 47601-9169 | 2007-08-27 |
| 1295935880 | Carol Ann Banks | Registered Nurse | 420 W Fourth Street, Suite 100-a, Mishawaka, IN 46544-1948 | 2007-07-20 |
| 1740378389 | Yolanda Gelaine Washington | Registered Nurse | 325 N Lafayette Blvd, South Bend, IN 46601-1208 | 2006-10-10 |
| 1033206396 | Frances S. Straeffer | Registered Nurse | 420 Mulberry Street, Oak Park Professional Bldg, Evansville, IN 47713-1231 | 2006-10-06 |
| 1962594689 | Lisa Anne Bell | Registered Nurse | 12740 Red Gate Rd, Evansville, IN 47725-9230 | 2006-09-29 |
| 1649881814 | Monisola I Bolarin | Registered Nurse | 16838 Glen Ct, Westfield, IN 46062-6841 | 2020-08-12 |
| 1619511987 | Vanessa Turner | Registered Nurse | 2116 Ridge Rd, Highland, IN 46322-1529 | 2019-10-30 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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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.