GLYNETTE RICHARD (NPI# 1902205479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902205479 |
| Entity Type | Individual |
| Full Name | GLYNETTE RICHARD |
| Credential | RN BSN |
| Practice Address |
1110 W 5th Ave Gary IN 46402-1723 |
| Mailing Address |
1100 W 6th Ave Gary IN 46402-1711 |
| Practice Telephone | 2198854264 |
| Practice Fax Number | 2192392944 |
| Mailing Telephone | 2198854264 |
| Mailing Fax Number | 2192392944 |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
28072428A | IN | Nursing Service Providers |
| Street Address |
1110 W 5TH AVE |
| City | GARY |
| State | IN |
| Zip Code | 46402-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366855462 | Victoria Charleston | Counselor | 1110 W 5th Ave, Gary, IN 46402-1723 | 2014-06-05 |
| 1932732955 | Edgewater Systems for Balanced Living, Inc | Clinic/Center | 1110 W 5th Ave, Gary, IN 46402-1723 | 2020-02-18 |
| 1568955037 | Edgewater Systems for Balanced Living, Inc | Psychiatric Hospital | 1110 W 5th Ave, Gary, IN 46402-1723 | 2018-06-11 |
| 1841706397 | Garcina White | Counselor | 1110 W 5th Ave, Gary, IN 46402-1723 | 2017-12-20 |
| 1114464989 | Kimberly Turner | Assistant Behavior Analyst | 1110 W 5th Ave, Gary, IN 46402-1723 | 2017-01-31 |
| 1104295120 | Darius Brannon | Counselor | 1110 W 5th Ave, Gary, IN 46402-1723 | 2015-09-21 |
| 1700265659 | Ruth Bernice Wilson | Counselor | 1110 W 5th Ave, Gary, IN 46402-1723 | 2015-05-26 |
| 1780072074 | Harold Brown | Counselor | 1110 W 5th Ave, Gary, IN 46402-1723 | 2015-01-08 |
| 1205249380 | Robin Schulte | Licensed Practical Nurse | 1110 W 5th Ave, Gary, IN 46402-1723 | 2014-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790154417 | Edgewater Systerms for Balanced Living | Community/Behavioral Health | 1106 West 6 Th Avenue, Gary, IN 46402 | 2015-09-23 |
| 1447642772 | Michael Pirtle | Counselor | 1100 W. Fifth Ave, Gary, IN 46402 | 2015-02-24 |
| 1356748370 | Peter F Uchman | Social Worker | 1100 W. 6th Ave., Gary, IN 46402 | 2014-11-20 |
| 1295142594 | Demetria A Macon | Counselor | 1100 W. 6th Ave, Gary, IN 46402 | 2014-07-18 |
| 1396952503 | 21st Century Charter School At Gary | Local Education Agency (LEA) | 556 W Washington, Gary, IN 46402 | 2007-05-17 |
| 1609094630 | Jomon Mathew | Physical Therapist | 353 Tyler St, Gary, IN 46402 | 2007-04-23 |
| 1376677138 | Kovilparambil Xavier Antony | Psychiatry & Neurology | 1100 W 6th Avenue, Gary, IN 46402 | 2007-03-15 |
| 1588759013 | Waltee Douglas | Psychologist | 667 Van Buren, Gary, IN 46402 | 2006-10-03 |
| 1851332514 | Thessa Grace Robertson | Emergency Medicine | 600 Grant Street, Gary, IN 46402 | 2006-06-10 |
| 1932672888 | The Methodist Hospitals, Inc | Pharmacy | 600 Grant St, Gary, IN 46402 | 2019-01-03 |
| Find all providers in zip 46402 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598159873 | Sandra Wright | Registered Nurse | 3331 Briar Ridge Way, Columbus, IN 47203-2704 | 2015-03-24 |
| 1295135929 | Nekisha Lynn Shahan | Registered Nurse | 4792 W Fall Creek Rd, Crawfordsville, IN 47933-9320 | 2014-08-29 |
| 1174706691 | Valerie J Rumple | Registered Nurse | 1909 Carew St, Fort Wayne, IN 46805 | 2007-12-06 |
| 1619184934 | Brooke K Peterson | Registered Nurse | 7230 Arbuckle Commons Ste 243, Brownsburg, IN 46112 | 2007-05-17 |
| 1447477120 | Patricia L Sheehan | Registered Nurse | 7842 Melbourne Rd, Indianapolis, IN 46268-2228 | 2007-04-20 |
| 1508961236 | Ellen Catherine Fagan-pryor | Registered Nurse | 2121 Lake Avene, Fort Wayne, IN 46805-5100 | 2006-09-14 |
| 1962504043 | Phyllis Anne Scott | Registered Nurse | 110 W Honey Creek Pkwy, Terre Haute, IN 47802-4114 | 2006-09-01 |
| 1639125644 | Christina Marie Walden | Registered Nurse | 7346 Trotter Rd, Camby, IN 46113-9430 | 2006-05-25 |
| 1548683188 | Rachel Roberts | Registered Nurse | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2014-02-03 |
| 1366883498 | Deborah Bykowski | Registered Nurse | 703 Pro-med Ln, Carmel, IN 46032-5317 | 2013-07-17 |
| Find all providers with the same taxonomy | ||||
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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.