AIMEE CLADY


Address: 1915 Lake Ave, Plymouth, IN 46563-9366
Phone: 5749484000

AIMEE CLADY (NPI# 1902345879) 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) 1902345879
Entity Type Individual
Full Name AIMEE CLADY
Practice Address 1915 Lake Ave
Plymouth
IN 46563-9366
Mailing Address 16310 Pretty Lake Rd
Plymouth
IN 46563-9458
Practice Telephone 5749484000
Mailing Telephone 5747800354
Enumeration Date 2017-02-13
Last Update Date 2020-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
71007043A IN Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
28123070A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 300002047 05
IN BCBS 000001075406 01
IN MEDICARE 187720013 01

Office Location

Street Address 1915 LAKE AVE
City PLYMOUTH
State IN
Zip Code 46563-9366

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619977543 Guy Kedziora Radiology 1915 Lake Ave, Plymouth, IN 46563-9366 2005-07-21
1598387250 Dana Oberg Hospitalist 1915 Lake Ave, Plymouth, IN 46563-9366 2020-05-15
1366905275 Benjamin Cale Friesen Registered Nurse 1915 Lake Ave, Plymouth, IN 46563-9366 2019-04-08
1013384262 Jessica Cooper Nurse Practitioner 1915 Lake Ave, Plymouth, IN 46563-9366 2015-08-24
1093102162 Saint Joseph Regional Medical Center - Plymouth Campus Inc Non-Pharmacy Dispensing Site 1915 Lake Ave, Plymouth, IN 46563-9366 2015-04-16
1821402876 Saint Joseph Regional Medical Center Plymouth Campus, Inc Internal Medicine 1915 Lake Ave, Plymouth, IN 46563-9366 2014-06-18
1144634742 Christopher A Chesnut Emergency Medicine 1915 Lake Ave, Plymouth, IN 46563-9366 2014-06-12
1669800728 Muhammad M Hussain Internal Medicine 1915 Lake Ave, Plymouth, IN 46563-9366 2013-10-28
1033430681 Monica Esquivel Dietitian, Registered 1915 Lake Ave, Plymouth, IN 46563-9366 2010-06-17
1184825283 Brion B. Shin Radiology 1915 Lake Ave, Plymouth, IN 46563-9366 2007-05-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811547748 Steven N Wolff Pharmacist Walmart #1978, 2505 North Oak Drive, Plymouth, IN 46563 2019-09-12
1295280923 Multi-county Ems LLC Ambulance 5034 Redwood Road, Plymouth, IN 46563 2016-08-23
1356473060 Donna Michelle Eggers Speech-Language Pathologist 1915 Lake Avenue, Plymouth, IN 46563 2007-03-09
1629103684 Marshall County Council On Aging Home Delivered Meals 1305 W Harrison Street, Plymouth, IN 46563 2007-02-22
1063561272 Associates In Clinical Psychology PC Psychiatric Residential Treatment Facility 317 West Monroe St, Plymouth, IN 46563 2007-01-09
1316005911 Michiana Eye Center LLC Optometrist 320 Meadow Ln, Plymouth, IN 46563 2006-12-05
1487722948 Allen Edward Reese Hearing Instrument Specialist 322 N. Michigan St., Suite C, Plymouth, IN 46563 2006-12-01
1508932252 Thomas A Miller Chiropractor 1071 Lincolnway E, Plymouth, IN 46563 2006-11-27
1679540991 Mukesh Garg Internal Medicine 2349 Lake Ave Ste 99, Plymouth, IN 46563 2006-03-06
1982686242 Woodlawn Hospital Skilled Nursing Facility 9601 Union Rd, Plymouth, IN 46563 2005-11-14
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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
1477180826 Stephanie Jordan Nurse Practitioner 22 Cranberry Rd, Plymouth, MA 02360-2857 2020-03-25
1710543863 Kristen Marie Kubik Nurse Practitioner 13970 Oakland Ct, Plymouth, MI 48170-5292 2019-05-14
1679931505 Hillary Costa Nurse Practitioner 45 Resnik Rd Ste 302, Plymouth, MA 02360-4883 2016-02-06
1811374747 Jill Marie Geer Nurse Practitioner 510 W Adams St, Suite 150, Plymouth, IN 46563-1765 2015-04-29
1740677921 Inner Banks Family Medicine Nurse Practitioner 543 Us Highway 64 W, Plymouth, NC 27962-2144 2015-04-24
1952706210 Elizabeth Nelson-frazier Nurse Practitioner 50 Aldren Road, Plymouth, MA 02061-2711 2014-10-29
1902206899 Kathleen E Steensma Nurse Practitioner 15700 37th Ave N. #110, Plymouth, MN 55446 2014-08-27
1730595943 Nicole Lee Nurse Practitioner 10 Bay Cliff Cir, Plymouth, MA 02360-1458 2014-07-08
1700122579 Renae Charlene Atkins Nurse Practitioner 2855 Miller Dr Ste 119, Plymouth, IN 46563-8091 2012-12-21
1396097069 Kristin Lynn Spencer Nurse Practitioner 3007 Harbor Lane North, Park Nicollet Clinic Plymouth - Family Medicine, Plymouth, MN 55447 2012-10-05
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Competitor

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City PLYMOUTH
Zip Code 46563

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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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