MINUTECLINIC DIAGNOSTICS OF INDIANA, LLC (NPI# 1932171634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932171634 |
| Entity Type | Organization |
| Organization Name | MINUTECLINIC DIAGNOSTICS OF INDIANA, LLC |
| Practice Address |
1466 W Oak St Zionsville IN 46077-1800 |
| Mailing Address |
Po Box 772 Minuteclinic Credentialing Woonsocket RI 02895-0784 |
| Practice Telephone | 8663892727 |
| Practice Fax Number | 4014063539 |
| Mailing Telephone | 8663892727 |
| Mailing Fax Number | 4014063539 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-03-26 |
| Authorized Official Name | DEBORAH JEAN PINCINCE (ADMINISTRATOR) |
| Authorized Official Telephone | 4017703813 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE RAILROAD | DF1674 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | MINUTECLINIC DIAGNOSTICS OF INDIANA, LLC | One Cvs Drive, Woonsocket, RI 02895 |
| Street Address |
1466 W OAK ST |
| City | ZIONSVILLE |
| State | IN |
| Zip Code | 46077-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215920665 | Melissa Ann Chriswell | Nurse Practitioner | 1466 W Oak St, Zionsville, IN 46077-1800 | 2005-08-31 |
| 1295340669 | Laura M Herron | Nurse Practitioner | 1466 W Oak St, Zionsville, IN 46077-1800 | 2020-09-12 |
| 1518519222 | Lisa Ann Bye | Pharmacist | 1466 W Oak St, Zionsville, IN 46077-1800 | 2019-07-12 |
| 1073165668 | Kevin Rivera | Pharmacist | 1466 W Oak St, Zionsville, IN 46077-1800 | 2019-07-12 |
| 1942790514 | Leslie Erin Colon | Nurse Practitioner | 1466 W Oak St, Zionsville, IN 46077-1800 | 2018-05-18 |
| 1194106641 | Nancy Boone | Nurse Practitioner | 1466 W Oak St, Zionsville, IN 46077-1800 | 2015-06-10 |
| 1053703900 | Jessica Ruth Bleyle | Nurse Practitioner | 1466 W Oak St, Zionsville, IN 46077-1800 | 2015-03-02 |
| 1164837068 | Shavon C Donald | Nurse Practitioner | 1466 W Oak St, Zionsville, IN 46077-1800 | 2014-06-30 |
| 1376889766 | Aijun Joann Cai | Nurse Practitioner | 1466 W Oak St, Zionsville, IN 46077-1800 | 2012-12-13 |
| 1083968309 | Sara Diann Ridlen | Nurse Practitioner | 1466 W Oak St, Zionsville, IN 46077-1800 | 2012-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174029789 | Amelia S Bruner | Family Medicine | 1325 Wood Valley Ct, Zionsville, IN 46077 | 2018-04-03 |
| 1982073078 | Visionelle Eyecare Inc | Clinic/Center | 6618 Whitestown Parkway, Zionsville, IN 46077 | 2015-09-18 |
| 1487065272 | Michael J Gallagher | Family Medicine | 51 N Ford Rd, Zionsville, IN 46077 | 2014-05-14 |
| 1518377381 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 6650 Whitestown Parkway, Whitestown, IN 46077 | 2014-05-02 |
| 1962828418 | Gordon Charles Colson | Family Medicine | 6733 Jons Station, Zionsville, IN 46077 | 2014-03-07 |
| 1285977033 | Vivian Cruz Nanagas | Allergy & Immunology | 4400 Weston Pointe Dr Ste 150, Zionsville, IN 46077 | 2013-03-30 |
| 1861643926 | Mark Chandrahant Lakshmanan | Internal Medicine | 1955 Mulsanne Drive, Zionsville, IN 46077 | 2008-10-08 |
| 1275780363 | Sarah S Alexander | Occupational Therapist | 825 West Pine St, Zionsville, IN 46077 | 2008-08-20 |
| 1346405909 | Harold Hibbs | Internal Medicine | 1475 West Oak Street #138, Zionsville, IN 46077 | 2008-07-23 |
| 1548444771 | Christopher C Romas, D.d.s., P.C. | Clinic/Center | 1155 Parkway Dr., Suite 100, Zionsville, IN 46077 | 2007-12-24 |
| Find all providers in zip 46077 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396172706 | Arika Benjamin | Nurse Practitioner | 55 Brendon Way Ste 100, Zionsville, IN 46077-1955 | 2013-09-30 |
| 1073690376 | Susan Adele Wolfe | Nurse Practitioner | 804 Eaglewood Dr, Zionsville, IN 46077-9032 | 2006-11-01 |
| 1558331652 | Nichole R Ingersoll | Nurse Practitioner | 8845 Pin Oak Dr, Zionsville, IN 46077-8530 | 2006-01-23 |
| 1215920665 | Melissa Ann Chriswell | Nurse Practitioner | 1466 W Oak St, Zionsville, IN 46077-1800 | 2005-08-31 |
| 1295340669 | Laura M Herron | Nurse Practitioner | 1466 W Oak St, Zionsville, IN 46077-1800 | 2020-09-12 |
| 1053932970 | Sarah Lynne Weber | Nurse Practitioner | 55 Brendon Way Ste 100, Zionsville, IN 46077-1955 | 2020-05-01 |
| 1942790514 | Leslie Erin Colon | Nurse Practitioner | 1466 W Oak St, Zionsville, IN 46077-1800 | 2018-05-18 |
| 1538614748 | Claudina David | Nurse Practitioner | 10801 N Michigan Rd Ste 110, Zionsville, IN 46077-8171 | 2016-08-17 |
| 1093166183 | Kristen R Osburn | Nurse Practitioner | 10801 N Michigan Rd Ste 110, Zionsville, IN 46077-8171 | 2016-06-29 |
| 1194183202 | Kelsey L Allbright | Nurse Practitioner | 10801 N Michigan Rd Ste 110, Zionsville, IN 46077-8171 | 2016-02-03 |
| Find all providers in ZIONSVILLE | ||||
| City | ZIONSVILLE |
| Zip Code | 46077 |
Please comment or provide details below to improve the information on MINUTECLINIC DIAGNOSTICS OF INDIANA, LLC.
| 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.