CAROLE A TENGBLAD (NPI# 1982603072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982603072 |
Entity Type | Individual |
Full Name | CAROLE A TENGBLAD |
Credential | FNP |
Practice Address |
1190 N State Road 49 Porter IN 46304-1368 |
Practice Telephone | 2199262146 |
Practice Fax Number | 2199263721 |
Mailing Telephone | 2199262146 |
Mailing Fax Number | 2199263721 |
Enumeration Date | 2005-07-20 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71001223A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1190 N STATE ROAD 49 |
City | PORTER |
State | IN |
Zip Code | 46304-1368 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831198928 | Lyle R Munn | Internal Medicine | 1190 N State Road 49, Porter, IN 46304-1368 | 2005-07-20 |
1801851241 | Health & Oncology Services, Inc | Internal Medicine | 1190 N State Road 49, Porter, IN 46304-1368 | 2006-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184274268 | Trinity Healthcare Inc. | Occupational Therapist | 2300 Village Point, Chesterton, IN 46304 | 2019-09-19 |
1962987206 | Kara Polus | Physical Therapy Assistant | 1595 S Calumet Rd Suite 3, Chesterton, IN 46304 | 2018-10-02 |
1275024481 | Karson Rice | Developmental Therapist | 1595 S Calumet Rd, Suite 3, Chesterton, IN 46304 | 2018-05-23 |
1720527765 | Alina Broski I | Occupational Therapy Assistant | 1120 S. Calument Road, Suite 3, Chesterton, IN 46304 | 2017-02-22 |
1538612015 | Muhammad Ziad Souqiyyeh | Internal Medicine | 3100 Village Pt Ste 102, Chesterton, IN 46304 | 2016-08-01 |
1942671656 | Samantha Stremich | Psychologist | 1496 Pope Ct # 2, Chesterton, MI 46304 | 2015-10-08 |
1669852299 | Deborah Joan Krause | Physical Therapy Assistant | 780 Dickinson Rd., Addison Pointe Health & Rehab Center, Chesterton, IN 46304 | 2015-06-09 |
1538462338 | Sunil Patel Md. P.C. | Internal Medicine | 1140 S. Calumet Road, Suite #2, Chesterton, IN 46304 | 2010-12-16 |
1629301981 | Lindsay Allison Munden | Nurse Practitioner | 505 County Road 1100 North, Chesterton, IN 46304 | 2009-09-17 |
1881851509 | Total Renal Care Inc | Clinic/Center | 711 Plaza Dr, Ste 6, Chesterton, IN 46304 | 2008-05-20 |
Find all providers in zip 46304 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992275374 | Rozanne Bailey Allred | Nurse Practitioner | 22947 Volga Dr, Porter, TX 77365 | 2018-11-28 |
1427558436 | Kristen Annette Brucker | Nurse Practitioner | 22006 Soft Pines Ct, Porter, TX 77365-3659 | 2018-02-16 |
1649784554 | Ngozi Grace Ladokun | Nurse Practitioner | 21626 Messara Ct, Porter, TX 77365-1159 | 2017-11-30 |
1699008482 | Rosaland Rochelle Lacy-taylor | Nurse Practitioner | 23736 Highway 59, Ste. 104, Porter, TX 77365-4634 | 2009-09-10 |
1588265979 | Rachelle C. Henry | Nurse Practitioner | 70 Main St, Porter, ME 04068-3527 | 2020-11-03 |
1922649417 | Lori A Lenart | Nurse Practitioner | 70 Main St, Porter, ME 04068-3527 | 2019-10-05 |
1063974194 | Lindsay N Tremblay | Nurse Practitioner | 70 Main St, Porter, ME 04068-3527 | 2019-04-06 |
1548730559 | Jennifer Lyn Stickelmeyer | Nurse Practitioner | 505 S Main St, Porter, OK 74454-1015 | 2018-12-03 |
1558830299 | Dayna Lobue | Nurse Practitioner | 24540 Fm 1314 Rd, Porter, TX 77365-4204 | 2018-11-23 |
1740757673 | Andraea Wyatt | Nurse Practitioner | 23865 Fm 1314 Rd, Porter, TX 77365-3727 | 2018-10-29 |
Find all providers in PORTER |
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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.