SARAH SUE HUMES


Address: 211 N Eddy St, South Bend, IN 46617
Phone: 5742379231

SARAH SUE HUMES (NPI# 1962902254) 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) 1962902254
Entity Type Individual
Full Name SARAH SUE HUMES
Credential FNP
Practice Address 211 N Eddy St
South Bend
IN 46617
Mailing Address 211 N Eddy St
South Bend
IN 46617-2808
Practice Telephone 5742379231
Practice Fax Number 5742046355
Mailing Telephone 5742379231
Mailing Fax Number 5742046355
Enumeration Date 2018-02-13
Last Update Date 2019-03-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 28167297A IN Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
28167297A IN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3005 Grape Rd, Mishawaka, IN 465452708 5742559555

Office Location

Street Address 211 N EDDY ST
City SOUTH BEND
State IN
Zip Code 46617

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073511598 Ron Clark Orthopaedic Surgery 211 N Eddy St, South Bend, IN 46617-2808 2005-07-08
1760082002 Nicole A Scheidler Nurse Practitioner 211 N Eddy St, South Bend, IN 46617-3096 2020-10-27
1205473451 Integrative Care Partners LLC Specialist 211 N Eddy St, South Bend, IN 46617-2808 2019-12-06
1144882069 Briana R Weidler-edholm Nurse Practitioner 211 N Eddy St, South Bend, IN 46617-3096 2019-07-01
1861052029 Suzanne Marie Holmes Nurse Practitioner 211 N Eddy St, South Bend, IN 46617-3096 2019-06-19
1609436864 Philip D Dibert Nurse Practitioner 211 N Eddy St, South Bend, IN 46617-3096 2019-06-19
1851865174 Jessica S Evans Nurse Practitioner 211 N Eddy St, South Bend, IN 46617-2808 2019-01-21
1467929570 Sabrina Jovita Lopez Nurse Practitioner 211 N Eddy St, South Bend, IN 46617-2808 2018-10-26
1326515701 Kara L Kaiser Nurse Practitioner 211 N Eddy St, South Bend, IN 46617-2808 2018-10-24
1598285686 Shana'e C Sobieray Audiologist 211 N Eddy St, South Bend, IN 46617 2017-06-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740731116 Jack Mcintyre Kimmell Specialist/Technologist 1526 East Lasalle, South Bend, IN 46617 2016-10-20
1023429115 Morning View Assisted Living LLC Assisted Living Facility 475 N. Niles Avenue, South Bend, IN 46617 2014-05-12
1265861231 Rebecca Busenbark Physical Therapist 401 E Colfax Ave Ste 102, South Bend, IN 46617 2013-11-11
1962709071 Doreen Danice Huddleston Social Worker 928 East Wayne St, Suit C, South Bend, IN 46617 2011-02-25
1487981734 Mary Cecilia Roemer Marriage & Family Therapist 616 E. Colfax Ave, South Bend, IN 46617 2009-11-06
1225264054 Sridhar Meda Dentist 1005 East Lasalle Ave, South Bend, IN 46617 2009-06-08
1063673531 Madeline Christina Watkins Counselor 616 E Colfax, South Bend, IN 46617 2008-06-18
1437366481 Michael Reed Johns Dentist 103 South Eddy Street, South Bend, IN 46617 2007-05-17
1194937680 Sarah Elizabeth Redman Specialist/Technologist 53880 Carmichael Dr., South Bend, IN 46617 2007-05-04
1124241211 Trixy Franke Family Medicine 837 E. Cedar St., Ste 100, South Bend, IN 46617 2007-04-10
Find all providers in zip 46617

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
1205334927 Martha Wahu Mburu Nurse Practitioner 17747 Tallyho Dr E, South Bend, IN 46635-1040 2018-01-28
1194245324 Sameka Renee Dowell Mills Nurse Practitioner 112 W Jefferson Blvd Ste 600, South Bend, IN 46601-1921 2017-06-20
1265826226 Mario Remedios Ortiz Nurse Practitioner 1700 Mishawaka Ave # Sac-130, Health & Wellness Center, Iu South Bend, South Bend, IN 46615-1408 2015-03-26
1023400454 Amanda Lundberg Nurse Practitioner 53830 Generations Dr Ste 110, South Bend, IN 46635-1538 2015-02-23
1932520426 Stephanie Brenneman Nurse Practitioner 943 S 25th St, South Bend, IN 46615-1707 2013-12-30
1467747014 Deidre A Coffey Nurse Practitioner 1025 Widener Ln, South Bend, IN 46614 2011-06-12
1083919161 Caitlin Vlaeminck Nurse Practitioner 6301 University Commons Ste 320, South Bend, IN 46635-1479 2011-01-20
1851590269 Warren Larry Penrod Nurse Practitioner 333 W. Western Ave, South Bend, IN 46601 2007-07-16
1780620005 Barbara Ann Norris Nurse Practitioner 1432 Lincoln Way E, South Bend, IN 46613-3205 2006-06-22
1184629891 Sharon K Klingerman Nurse Practitioner 100 Navarre Pl, Ste 5550, South Bend, IN 46601-1169 2005-06-17
Find all providers in SOUTH BEND

Competitor

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City SOUTH BEND
Zip Code 46617

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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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