MS. TRICIA JAYNE SPOONMORE (NPI# 1902848583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902848583 |
| Entity Type | Individual |
| Full Name | MS. TRICIA JAYNE SPOONMORE |
| Credential | NP |
| Practice Address |
2415b Mitchell Rd Bedford IN 47421-4731 |
| Mailing Address |
8840 Commerce Park Pl Ste E Indianapolis IN 46268-3129 |
| Practice Telephone | 8122761305 |
| Practice Fax Number | 8122761304 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2014-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71000199A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200094460 | 05 |
| Street Address |
2415B MITCHELL RD |
| City | BEDFORD |
| State | IN |
| Zip Code | 47421-4731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073570222 | Larry Leronza Strong | Urology | 2415b Mitchell Rd, Bedford, IN 47421-4731 | 2006-04-28 |
| 1124156237 | The Bone and Joint Center of Southern Indiana P.C. | Orthopaedic Surgery | 2415b Mitchell Rd, Bedford, IN 47421-4731 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114406303 | Leana Michelle Massimini | Speech-Language Pathologist | 3710 Kenneth Simpson Ln, Bedford, IN 47421 | 2018-08-09 |
| 1497246888 | Sara Lehr Corry | Counselor | 2325 Q St., Bedford, IN 47421 | 2018-05-22 |
| 1760737274 | Lisa Lynne Autry | Social Worker | 2125 16th Street, Bedford, IN 47421 | 2012-07-20 |
| 1285998153 | Reid Clipp Crosby | Obstetrics & Gynecology | 118woodhill Dr, Bedford, IN 47421 | 2012-06-26 |
| 1730453184 | Fields Chiropractic Inc | Chiropractor | 2418 W 16th St, Bedford, IN 47421 | 2012-03-02 |
| 1639461783 | Lori Wininger | Physical Therapy Assistant | 2137 16th Street, Bedford, IN 47421 | 2011-05-09 |
| 1871743716 | Union Optical and Eyecare Center, Inc. | Optometrist | 3343 Michael Ave, Bedford, IN 47421 | 2008-09-29 |
| 1326207176 | Ross Wright | Surgery | 179 Shawswick Road, Bedford, IN 47421 | 2008-06-06 |
| 1336320563 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1510 Clinic Dr, Bedford, IN 47421 | 2007-11-15 |
| 1306031992 | Assisted Living Concepts Inc | Assisted Living Facility | 3008 Shawnee Drive, South Bedford, IN 47421 | 2007-09-07 |
| Find all providers in zip 47421 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680814 | Heather Jean Dozois | Nurse Practitioner | 80 Palomino Ln Ste 402, Bedford, NH 03110-6447 | 2020-08-19 |
| 1760004337 | Pamela Urick | Nurse Practitioner | 33 Darby Ln, Bedford, NH 03110-4517 | 2020-05-17 |
| 1710513932 | Nirmal Shrestha Deoju | Nurse Practitioner | 2345 Leafy Glen Ct, Bedford, TX 76022-6114 | 2020-03-19 |
| 1639729445 | Erin Lynn Dedman | Nurse Practitioner | 470 Us-421, Bedford, KY 40006 | 2019-09-13 |
| 1013495837 | Stephanie Ann Mason | Nurse Practitioner | 2415 Mitchell Rd Ste C, Bedford, IN 47421-4731 | 2018-08-02 |
| 1386121424 | Sara Elizabeth Kazanowski | Nurse Practitioner | 5 Washington Pl Ste 1a, Bedford, NH 03110-6771 | 2018-07-22 |
| 1144722539 | Leslie Stevens Kipp | Nurse Practitioner | 1305 Airport Fwy Ste 420, Bedford, TX 76021-6605 | 2018-03-01 |
| 1407370216 | Laura L Boulter | Nurse Practitioner | 154 Great Rd, Bedford, MA 01730-2725 | 2017-08-02 |
| 1003339623 | Kathryn Lynn Alto | Nurse Practitioner | 88 Center Rd Ste 250a, Bedford, OH 44146-2711 | 2017-07-25 |
| 1306399811 | Caitlin Wright | Nurse Practitioner | 2512b Q St, Bedford, IN 47421-4928 | 2016-08-01 |
| Find all providers in BEDFORD | ||||
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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.