MRS. JODY LYNN ROOT (NPI# 1881622900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881622900 |
| Entity Type | Individual |
| Full Name | MRS. JODY LYNN ROOT |
| Credential | FNP-BC |
| Practice Address |
10858 E State Road 54 Suite #1 Bloomfield IN 47424-6069 |
| Practice Telephone | 8124000067 |
| Practice Fax Number | 8124000067 |
| Mailing Telephone | 8124000067 |
| Mailing Fax Number | 8124000067 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2015-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71002130A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10858 E STATE ROAD 54 SUITE #1 |
| City | BLOOMFIELD |
| State | IN |
| Zip Code | 47424-6069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679971550 | Westgate Medical, LLC | Nurse Practitioner | 10858 E State Road 54, Suite #1, Bloomfield, IN 47424-6069 | 2014-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528452281 | Kari Dawn Schulte | Specialist/Technologist | 246 E Simpson Chapel Rd, Bloomfield, IN 47424 | 2015-03-20 |
| 1316113376 | Sarah Elizabeth Flemming | Pediatrics | 55 N Judge St, Bloomfield, IN 47424 | 2008-04-30 |
| 1972696623 | Bloomfield School District | Local Education Agency (LEA) | 500 W South Street, Bloomfield, IN 47424 | 2006-10-02 |
| 1821585563 | Greene County General Hospital | Specialist | 55 N Judge St, Bloomfield, IN 47424 | 2018-04-18 |
| 1568730372 | Burton Chiropractic Clinic | Chiropractor | 505 S. Franklin St, Bloomfield, IN 47424-0424 | 2011-12-07 |
| 1538778139 | Tyralee Frye | Specialist/Technologist | 731 Lincoln Dr, Bloomfield, IN 47424-1023 | 2020-07-29 |
| 1881777258 | Ronald Jay Munden | Dentist | 124 E Indiana Ave, Bloomfield, IN 47424-1045 | 2006-10-21 |
| 1497388268 | Rb Munden, Dds, PC | Dentist | 124 E Indiana Ave, Bloomfield, IN 47424-1045 | 2020-02-19 |
| 1184006959 | Ronald Jay Munden, D.d.s. | Dentist | 124 E Indiana Ave, Bloomfield, IN 47424-1045 | 2015-06-29 |
| 1083947691 | Ryan Brant Munden | Dentist | 124 E Indiana Ave, Bloomfield, IN 47424-1045 | 2009-09-14 |
| Find all providers in zip 47424 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760009609 | Kesone T Telfer | Nurse Practitioner | 36 Walsh St, Bloomfield, CT 06002-3261 | 2020-06-26 |
| 1346721768 | Juliana Lima | Nurse Practitioner | 194 Broad St Ste 4, Bloomfield, NJ 07003-2606 | 2018-08-23 |
| 1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
| 1679009716 | Raxine Avis Christie-campbell | Nurse Practitioner | 24 Foothills Way, Bloomfield, CT 06002-1640 | 2017-05-11 |
| 1740727791 | Benjamin Quidangen | Nurse Practitioner | 12 Lewis St, Bloomfield, NJ 07003-6017 | 2017-01-30 |
| 1821541855 | Gretchen A. Myers | Nurse Practitioner | 8047 Pierpont Rd, Bloomfield, NY 14469-9714 | 2016-07-26 |
| 1003091497 | Bloomfield Medical Clinic, PC | Nurse Practitioner | 105 S Broadway Avenue, Bloomfield, NE 68718-0357 | 2008-01-03 |
| 1497786354 | James B Guynn | Nurse Practitioner | 100 N Church St Ste C, Bloomfield, NM 87413-5754 | 2006-07-06 |
| 1386692077 | Sunny Lynn Nagengast | Nurse Practitioner | 105 S Broadway, Bloomfield, NE 68718-0357 | 2006-05-04 |
| 1194354126 | Tatiana Dea | Nurse Practitioner | 1255 Broad St, Bloomfield, NJ 07003-3000 | 2020-04-02 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 47424 |
Please comment or provide details below to improve the information on MRS. JODY LYNN ROOT.
| 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.