PATRICIA JUSTINE IRVIN (NPI# 1013473297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013473297 |
| Entity Type | Individual |
| Full Name | PATRICIA JUSTINE IRVIN |
| Practice Address |
2920 N Arlington Ave Indianapolis IN 46218-3361 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3173559315 |
| Mailing Telephone | 3176217547 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
71008765A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2920 N ARLINGTON AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46218-3361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124043716 | Community Hospitals of Indiana Inc | Family Medicine | 2920 N Arlington Ave, Suite B, Indianapolis, IN 46218-3362 | 2006-07-13 |
| 1104399013 | Abby Jo Brack | Nurse Practitioner | 2920 N Arlington Ave, Indianapolis, IN 46218-3361 | 2019-01-03 |
| 1124040464 | L T Gates | Family Medicine | 2920 N Arlington Ave, Suite B, Indianapolis, IN 46218-3362 | 2006-07-24 |
| 1194745208 | Mary P Blanchet | Nurse Practitioner | 2920 N Arlington Ave, Suite B, Indianapolis, IN 46218-3362 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487208930 | Darryl K Webster | Counselor | 4901 E. 31st Street, Indianapolis, IN 46218 | 2019-08-01 |
| 1780238238 | Rhonda Y. Battles | Counselor | 1775 N Sherman Dr Suite A, Indianapolis, IN 46218 | 2019-08-01 |
| 1861918849 | Corey Simmons | Ambulance | 3659 N Temple Ave, Indianapolis, IN 46218 | 2017-08-21 |
| 1245769645 | Community Health Network, Inc | Clinic/Center | 1640 N. Ritter Avenue, Indianapolis, IN 46218 | 2017-06-08 |
| 1912221615 | Melvin Lowell Stringer Jr. | Driver | 3266 N. Arsenal Ave, Indianapolis, IN 46218 | 2010-03-24 |
| 1952523854 | Allyson Leigh Mcintire | Counselor | 5502 E 16 Th Street, Indpls, IN 46218 | 2007-05-02 |
| 1104912963 | Andrea Sue Campbell | Social Worker | 5502 E 16th Street, Indpls, IN 46218 | 2006-10-05 |
| 1720186356 | Abbie Ann Grudzien | Counselor | 4701 N Keystone, Ste 150, Indpls, IN 46218 | 2006-09-20 |
| 1508978784 | Linda A Fundenberger | Ophthalmology | 2815 E 38th Street, Indianapolis, IN 46218 | 2006-08-31 |
| 1063467850 | Aaron P Kalinowski | Emergency Medicine | 2920 N Arlington Ave Ste B, Indianapolis, IN 46218 | 2006-05-23 |
| Find all providers in zip 46218 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891271466 | Hilton Health Housecall LLC | Nurse Practitioner | 4340 Trace Wood Dr, Indianapolis, IN 46254-6238 | 2018-07-17 |
| 1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
| 1538797212 | Keegan M. Hall | Nurse Practitioner | 1050 Wishard Blvd, Indianapolis, IN 46202-2872 | 2020-03-30 |
| 1518449297 | Victoria Crawford | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2018-08-30 |
| 1831682095 | Marcia M Jefferson | Nurse Practitioner | 6612 E 75th St, Indianapolis, IN 46250-2875 | 2018-06-12 |
| 1326539966 | Wendy Shokes | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2018-05-18 |
| 1700375243 | Terri Girt | Nurse Practitioner | 7007 Graham Rd, Indianapolis, IN 46220-4063 | 2018-05-09 |
| 1851895387 | Jessica Birge | Nurse Practitioner | 6401 E Washington St, Indianapolis, IN 46219 | 2018-03-20 |
| 1154830529 | Jeni Sylese Grundy | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2017-09-28 |
| 1396261749 | Leah Michelle Moulder | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2017-08-17 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46218 |
Please comment or provide details below to improve the information on PATRICIA JUSTINE IRVIN.
| 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.