LINDSEY N BROUGH (NPI# 1053780973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053780973 |
Entity Type | Individual |
Full Name | LINDSEY N BROUGH |
Credential | FNP-C |
Practice Address |
505 W Homer St Ste 101 Salem IN 47167-1698 |
Mailing Address |
8840 Commerce Park Pl Ste E Indianapolis IN 46268-3129 |
Practice Telephone | 8128838772 |
Enumeration Date | 2015-09-21 |
Last Update Date | 2015-11-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
71005811A | IN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
28155343A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
71005811A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
505 W HOMER ST STE 101 |
City | SALEM |
State | IN |
Zip Code | 47167-1698 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679951792 | Forefront Dermatology, S.c. | Dermatology | 911 N Shelby Street, St. Vincent Salem Hospital, Specialty Clinic, Salem, IN 47167 | 2015-05-08 |
1407188162 | Sheila Belamour | Physical Therapy Assistant | 900 Anson Street, Salem, IN 47167 | 2010-02-05 |
1598988834 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 N. Nichols Ave., Salem, IN 47167 | 2007-04-11 |
1740303973 | Blue River Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 75 E. Oak Dr, Salem, IN 47167 | 2007-04-10 |
1689709594 | Renal Treatment Centers Illinois Inc | Clinic/Center | 1201 N Jim Day Road, Ste 103, Salem, IN 47167 | 2007-02-22 |
1780738161 | Martin F Kennedy Dds PC | Dentist | 1600 S State Rd 135, Salem, IN 47167 | 2007-01-22 |
1114079449 | Gene F Hedrick Dds PC | Dentist | 100 North Harrison Street, Salem, IN 47167 | 2007-01-17 |
1689626038 | Kristen Ingram | Family Medicine | 1002 N Shelby St Ste 1004, Salem, IN 47167 | 2006-05-16 |
1952825564 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 S Main St, Salem, IN 47167 | 2017-07-26 |
1558770370 | Ashlee Austin | Occupational Therapist | 900 Anson St, Salem, IN 47167 | 2014-08-06 |
Find all providers in zip 47167 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194178376 | Amy Hodges | Nurse Practitioner | 172 Highway 62 W, Salem, AR 72576-8059 | 2016-07-22 |
1114930583 | Ingrid Scott | Nurse Practitioner | 11 Forrester St, Salem, MA 01970-4001 | 2006-08-15 |
1376539783 | Joseph Lee Easley | Nurse Practitioner | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2005-09-21 |
1225490816 | Melissa J Kohnen | Nurse Practitioner | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2016-03-23 |
1982077251 | Courtney Joy Kennison | Nurse Practitioner | 891 23rd St Ne, Salem, OR 97301-1793 | 2015-11-08 |
1093123382 | Elizabeth Cullinan | Nurse Practitioner | 84 Highland Ave, Salem, MA 01970-2727 | 2014-07-30 |
1790196244 | Lori Landreth | Nurse Practitioner | 1275 Hawthorn Rd, Salem, IL 62881-1028 | 2014-05-17 |
1649554049 | Jessica Lyn Joaquin | Nurse Practitioner | 72 Highland Ave, Salem, MA 01970-2738 | 2011-10-04 |
1952682676 | Katharine Chamberlin | Nurse Practitioner | 72 Highland Ave, Salem, MA 01970-2738 | 2011-09-08 |
1619206356 | Samantha Gunawardene | Nurse Practitioner | 72 Highland Ave, Salem, MA 01970-2738 | 2009-12-09 |
Find all providers in SALEM |
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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.