KELLY MAE LOSINIECKI (NPI# 1013288448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013288448 |
| Entity Type | Individual |
| Full Name | KELLY MAE LOSINIECKI |
| Other Name | KELLY MAE MCCARTHY |
| Credential | NP |
| Practice Address |
211 N Eddy St. South Bend IN 46617-3096 |
| Mailing Address |
211 N Eddy St South Bend IN 46617-2808 |
| Practice Telephone | 5742379231 |
| Practice Fax Number | 5742046355 |
| Mailing Telephone | 5742379231 |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2018-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 71003885A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
28176558A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE | P01203728 | 01 |
| IN | BCBS BMG NORTH CENTRAL NEUROSURGERY | 000000758607 | 01 |
| IN | 201058080 | 05 |
| Street Address |
211 N EDDY ST. |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-3096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078108 | Robert J. Hruskovich | Family Medicine | 211 N Eddy St., South Bend, IN 46617-3096 | 2005-10-26 |
| 1578013058 | Jennifer N Besemer | Dietitian, Registered | 211 N Eddy St., South Bend, IN 46617 | 2016-10-10 |
| 1952764409 | Marc Oudghiri | Nurse Practitioner | 211 N Eddy St., South Bend, IN 46617-3096 | 2016-04-01 |
| 1124429261 | Megan Kathleen Maloney | Physician Assistant | 211 N Eddy St., South Bend, IN 46617-3096 | 2014-09-09 |
| 1447669304 | Ludmila Pichugena-emerson | Nurse Practitioner | 211 N Eddy St., South Bend, IN 46617-3096 | 2014-08-05 |
| 1497902571 | Saira Malik Rahman | Pediatrics | 211 N Eddy St., South Bend, IN 46617-3096 | 2008-08-20 |
| 1821183674 | Cheryl A. Sharp | Audiologist | 211 N Eddy St., South Bend, IN 46617-3096 | 2006-10-04 |
| 1104817733 | Sandria R Nixon | Nurse Practitioner | 211 N Eddy St., South Bend, IN 46617-3096 | 2005-11-02 |
| 1013907419 | Ralph E Inabnit | Family Medicine | 211 N Eddy St., South Bend, IN 46617-3096 | 2005-10-26 |
| 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 Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| 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 | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
Please comment or provide details below to improve the information on KELLY MAE LOSINIECKI.
| 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.