LAURA ANNE DEAK


Address: 615 N Michigan St Fl 1, South Bend, IN 46601-1033
Phone: 5746473050

LAURA ANNE DEAK (NPI# 1881861573) 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) 1881861573
Entity Type Individual
Full Name LAURA ANNE DEAK
Other Name LAURA EVERETT
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
Mailing Telephone 5746471610
Mailing Fax Number 5742376069
Enumeration Date 2008-05-12
Last Update Date 2018-03-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
4704258737 MI Physician Assistants & Advanced Practice Nursing Providers
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
71006165A IN Physician Assistants & Advanced Practice Nursing Providers
N 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
DEA1-0433-2792 MI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
200 Jefferson Se, Grand Rapids, MI 49503 6166855000 6166853084

Office Location

Street Address 615 N MICHIGAN ST FL 1
City SOUTH BEND
State IN
Zip Code 46601-1033

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1801188743 Sue Ann Bickley Nurse Practitioner 615 N Michigan St Fl 1, South Bend, IN 46601-1033 2011-05-11
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

Providers in the same taxonomy and state

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
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Competitor

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City SOUTH BEND
Zip Code 46601

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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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