MRS. MICHELLE JEAN STREB


Address: 1960 Northside Boulevard, South Bend, IN 46615
Phone: 5743077673

MRS. MICHELLE JEAN STREB (NPI# 1861897688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861897688
Entity Type Individual
Full Name MRS. MICHELLE JEAN STREB
Other Name MICHELLE JEAN GREGORY
Credential RN, FNP-BC
Practice Address 1960 Northside Boulevard
South Bend
IN 46615
Mailing Address 2401 Valley Dr
Valparaiso
IN 46383-2520
Practice Telephone 5743077673
Practice Fax Number 5742344706
Mailing Telephone 2194135100
Mailing Fax Number 5744659502
Enumeration Date 2014-10-23
Last Update Date 2018-12-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 28091767A IN Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
71005268A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 201272400 05

Office Location

Street Address 1960 NORTHSIDE BOULEVARD
City SOUTH BEND
State IN
Zip Code 46615

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790158244 Healthlinc, Inc Clinic/Center 1960 Northside Boulevard, South Bend, IN 46615 2015-11-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679954804 Healthlinc, Inc. Clinic/Center 1002 S Esther St, South Bend, IN 46615 2015-06-12
1275848962 Charles Mikel Craig Optometrist 220 N. Ironwood Dr., South Bend, IN 46615 2010-08-18
1710219613 Debra Vasquez Occupational Therapy Assistant 1950 Ridgedaleroad, South Bend, IN 46615 2010-02-03
1114259132 Christopher Joseph Smith Physical Therapist 1005 Hickory Rd, South Bend, IN 46615 2010-02-01
1295064525 Starlight Care Facilities, Inc Skilled Nursing Facility 915 So. 27th Street, South Bend, IN 46615 2009-12-16
1699002642 Ann G Pryor Contractor 1516 E. Wayne St., South Bend, IN 46615 2009-11-12
1891917449 Logan Community Resources, Inc. Community/Behavioral Health 2505 E. Jefferson Blvd, South Bend, IN 46615 2007-05-03
1487712683 Julie Gaydos Plagens Dentist 604 South Eddy St, South Bend, IN 46615 2006-12-04
1629163084 Edward F Klodzinski Counselor 3603 E. Jefferson Blvd., South Bend, IN 46615 2006-10-03
1255448452 John D Bond Dds Inc Dentist 915 S Ironwood, South Bend, IN 46615 2006-08-24
Find all providers in zip 46615

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205334927 Martha Wahu Mburu Nurse Practitioner 17747 Tallyho Dr E, South Bend, IN 46635-1040 2018-01-28
1194245324 Sameka Renee Dowell Mills Nurse Practitioner 112 W Jefferson Blvd Ste 600, South Bend, IN 46601-1921 2017-06-20
1265826226 Mario Remedios Ortiz Nurse Practitioner 1700 Mishawaka Ave # Sac-130, Health & Wellness Center, Iu South Bend, South Bend, IN 46615-1408 2015-03-26
1023400454 Amanda Lundberg Nurse Practitioner 53830 Generations Dr Ste 110, South Bend, IN 46635-1538 2015-02-23
1932520426 Stephanie Brenneman Nurse Practitioner 943 S 25th St, South Bend, IN 46615-1707 2013-12-30
1467747014 Deidre A Coffey Nurse Practitioner 1025 Widener Ln, South Bend, IN 46614 2011-06-12
1083919161 Caitlin Vlaeminck Nurse Practitioner 6301 University Commons Ste 320, South Bend, IN 46635-1479 2011-01-20
1851590269 Warren Larry Penrod Nurse Practitioner 333 W. Western Ave, South Bend, IN 46601 2007-07-16
1780620005 Barbara Ann Norris Nurse Practitioner 1432 Lincoln Way E, South Bend, IN 46613-3205 2006-06-22
1184629891 Sharon K Klingerman Nurse Practitioner 100 Navarre Pl, Ste 5550, South Bend, IN 46601-1169 2005-06-17
Find all providers in SOUTH BEND

Competitor

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City SOUTH BEND
Zip Code 46615

Improve Information

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Dataset Information

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.

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