DERICK YENSILA NGORAN (NPI# 1932719135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932719135 |
Entity Type | Individual |
Full Name | DERICK YENSILA NGORAN |
Practice Address |
620 8th Ave Terre Haute IN 47804-2771 |
Practice Telephone | 8122318323 |
Practice Fax Number | 8122318400 |
Mailing Telephone | 8122318323 |
Mailing Fax Number | 8122318400 |
Enumeration Date | 2020-08-04 |
Last Update Date | 2020-10-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
71010501A | IN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R43593 | ND | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2585 Ivy Ave E Apt 211, Maplewood, MN 551197152 | 7016101994 |
Street Address |
620 8TH AVE |
City | TERRE HAUTE |
State | IN |
Zip Code | 47804-2771 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063497915 | Lisa Karen Tincher | Nurse Practitioner | 620 8th Ave, Terre Haute, IN 47804-2744 | 2005-12-14 |
1699397539 | Ashley Delaunois | Registered Nurse | 620 8th Ave, Terre Haute, IN 47804-2771 | 2020-05-14 |
1376165258 | Lesli Bose | Social Worker | 620 8th Ave, Terre Haute, IN 47804-2744 | 2020-05-13 |
1902458441 | Charles Claycomb | Pharmacist | 620 8th Ave, Terre Haute, IN 47804-2744 | 2019-07-15 |
1659932465 | Robin L. Smiddy | Nurse Practitioner | 620 8th Ave, Terre Haute, IN 47804-2744 | 2019-06-23 |
1316500424 | Kendall Coniglio | Nurse Practitioner | 620 8th Ave, Terre Haute, IN 47804-2771 | 2019-04-16 |
1871056457 | Halima Al-khattab | Nurse Practitioner | 620 8th Ave, Terre Haute, IN 47804-2771 | 2019-04-10 |
1770040594 | William Little | Social Worker | 620 8th Ave, Terre Haute, IN 47804-2771 | 2019-02-28 |
1487110235 | Mark Collins Jr. | Social Worker | 620 8th Ave, Terre Haute, IN 47804-2771 | 2019-02-18 |
1124596135 | Natasha Newcomb | Social Worker | 620 8th Ave, Terre Haute, IN 47804-2771 | 2018-11-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568971885 | Tiffany Marshall | Physical Therapist | North At Uap Bone & Joint Center, Lower Level 1725 North 5th Street, Terre Haute, IN 47804 | 2017-09-29 |
1336565423 | Deondra Allison Cottrill | Physical Therapy Assistant | 1725 N. 5th Street, Union Hospital Therapy Services, Terre Haute, IN 47804 | 2014-03-13 |
1043635170 | Patricia Klos | Physical Therapy Assistant | 1606 Nth 7th Street, Terre Haute, IN 47804 | 2014-02-26 |
1043565476 | Debra Denehie Hills | Registered Nurse | 620 8th Avenue, Terre Haute, IN 47804 | 2012-07-23 |
1841503257 | Meredeth Su Gray | Dentist | 1608 Lafayette Avenue, Terre Haute, IN 47804 | 2010-07-15 |
1083946628 | John Barton, Lpt | Health Maintenance Organization | 1818 N 3rd Street, Terre Haute, IN 47804 | 2010-02-08 |
1750584009 | Kool Smiles In-3, PC | Dentist | 1800 Fort Harrison Rd, Terra Haute, IN 47804 | 2007-06-06 |
1619006988 | Union Hospital Inc | Student in an Organized Health Care Education/Training Program | 1513 N 6 1-2 Street, Terre Haute, IN 47804 | 2007-03-05 |
1730243080 | John Lee Nichols | Dentist | 1246 Maple Ave, Terre Haute, IN 47804 | 2006-12-21 |
1093894057 | Isaac N Mitre | Obstetrics & Gynecology | 1623 N 4th Street, Terre Haute, IN 47804 | 2006-11-02 |
Find all providers in zip 47804 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215552898 | Jennifer Dawn Scott | Nurse Practitioner | 4733 S 7th St, Terre Haute, IN 47802-4559 | 2020-06-10 |
1316500424 | Kendall Coniglio | Nurse Practitioner | 620 8th Ave, Terre Haute, IN 47804-2771 | 2019-04-16 |
1871056457 | Halima Al-khattab | Nurse Practitioner | 620 8th Ave, Terre Haute, IN 47804-2771 | 2019-04-10 |
1982166203 | Lisa Leann Reinhardt | Nurse Practitioner | 4733 S 7th St, Terre Haute, IN 47802-4559 | 2019-04-04 |
1235614330 | Brenda Sue Fahr | Nurse Practitioner | 620 8th Ave, Terre Haute, IN 47804-2744 | 2018-09-25 |
1700327533 | Jason Heck | Nurse Practitioner | 620 8th Ave, Terre Haute, IN 47804-2744 | 2017-03-13 |
1932655982 | Tiffany Chaille | Nurse Practitioner | 620 8th Ave, Terre Haute, IN 47804-2744 | 2016-08-30 |
1407292691 | Margaret Susan Brumfield | Nurse Practitioner | 620 8th Ave, Terre Haute, IN 47804-2744 | 2013-05-15 |
1316257645 | Brooke Anne Kempf | Nurse Practitioner | 620 8th Ave, Terre Haute, IN 47804-2744 | 2010-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548875669 | Brooke Lavignette | Nurse Practitioner | 1805 Summit Dr, West Lafayette, IN 47906-2231 | 2020-09-15 |
1205444775 | Anu Abraham Ade Owofadeju | Nurse Practitioner | 8820 S Meridian St Ste 225, Indianapolis, IN 46217-6064 | 2020-07-21 |
1356959068 | Indy Behavioral Health LLC | Nurse Practitioner | 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069 | 2020-07-20 |
1942833306 | Osasumwen Igbinoba | Nurse Practitioner | 402 Wall St Ste 23, Valparaiso, IN 46383-2567 | 2020-02-13 |
1770114118 | Abbey Bolden | Nurse Practitioner | 929 Miller Ct, Greenfield, IN 46140-7267 | 2020-02-03 |
1376184556 | Carrie Mefford | Nurse Practitioner | 5435 E 16th St, Indianapolis, IN 46218-4869 | 2019-09-30 |
1700430006 | Lusine Vardanyan | Nurse Practitioner | Memorial Hospital and Health Care Center, 800 W 9th Street, Jasper, IN 47546-2514 | 2019-07-25 |
1134780851 | Eric Lyakhovetsky | Nurse Practitioner | 327 W Saidah Rd, Bloomington, IN 47404-8965 | 2019-06-24 |
1124599394 | Adria Dawn Thornburgh | Nurse Practitioner | 6235 Forest View Dr, Indianapolis, IN 46260-4707 | 2018-12-16 |
1033693213 | Katie Marie Feeney | Nurse Practitioner | Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 | 2018-09-24 |
Find all providers with the same taxonomy |
City | TERRE HAUTE |
Zip Code | 47804 |
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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.