ROSE MARIE FLINCHUM (NPI# 1093121063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093121063 |
| Entity Type | Individual |
| Full Name | ROSE MARIE FLINCHUM |
| Credential | CNS, RN |
| Practice Address |
1300 State St Suite 1a La Porte IN 46350-3185 |
| Practice Telephone | 2193261234 |
| Practice Fax Number | 2193257682 |
| Mailing Telephone | 2193261234 |
| Mailing Fax Number | 2193257682 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041278685 | IL | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 28069463A | IN | Nursing Service Providers |
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
CDE 0942-0223 | IN | Nursing Service Providers |
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
NOT REQUIRED IN | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1300 STATE ST SUITE 1A |
| City | LA PORTE |
| State | IN |
| Zip Code | 46350-3185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184672727 | John M Swangim | Podiatrist | 1300 State St, Suite 1e, La Porte, IN 46350-3185 | 2006-05-05 |
| 1275081788 | La Porte Clinic Company LLC | Optometrist | 1300 State St, Suite 1b, La Porte, IN 46350-3185 | 2016-09-13 |
| 1164845095 | Indiana University Health La Porte Physicians Inc | Durable Medical Equipment & Medical Supplies | 1300 State St, Suite 1f, La Porte, IN 46350-3185 | 2014-01-29 |
| 1962722694 | John M Swangim Dpm PC | Podiatrist | 1300 State St, Suite 1e, La Porte, IN 46350-3185 | 2010-06-04 |
| 1427280106 | Cancer Health Treatment Centers,pc | Internal Medicine | 1300 State St, 1a, La Porte, IN 46350-3185 | 2009-08-14 |
| 1699909069 | La Porte Regional Physician Network, Inc | Neurological Surgery | 1300 State St, Suite 2a, La Porte, IN 46350-3185 | 2009-05-13 |
| 1750509543 | Monica Yamile Ovalle Abuabara | General Practice | 1300 State St, Suite 2 F, La Porte, IN 46350-3185 | 2007-04-24 |
| 1306928064 | Ophthalmology Inc | Optometrist | 1300 State St, Ste. 1-f, La Porte, IN 46350-3185 | 2006-10-20 |
| 1205930385 | Laporte Regional Physician Network | Obstetrics & Gynecology | 1300 State St, La Porte, IN 46350-3185 | 2006-09-11 |
| 1114038908 | Laporte Regional Physician Network | Psychiatry & Neurology | 1300 State St, Suite 1b, La Porte, IN 46350-3185 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
| 1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
| 1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
| 1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
| 1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
| 1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
| 1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
| 1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
| 1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
| 1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
| Find all providers in zip 46350 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558843433 | Jason Allan Mcclara | Clinical Nurse Specialist | 1481 W 10th St # 111, Indianapolis, IN 46202-2803 | 2018-09-06 |
| 1336493873 | Pat Mcquade,aprn,msn,llc | Clinical Nurse Specialist | 1604 Blue Heron Way, South Bend, IN 46628-3883 | 2012-11-06 |
| 1326309212 | Kimberly S. Hodge | Clinical Nurse Specialist | 15265 N 100 E, Summitville, IN 46070-9638 | 2012-06-06 |
| 1841804549 | Erica Newkirk | Clinical Nurse Specialist | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2020-09-01 |
| 1205489754 | Jessica Green | Clinical Nurse Specialist | 11700 N Meridian St, Carmel, IN 46032-4656 | 2019-07-23 |
| 1275040552 | Margarie Moses | Clinical Nurse Specialist | 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 | 2018-01-08 |
| 1427505528 | Janice Cise | Clinical Nurse Specialist | 5524 S Emerson Ave, Indianapolis, IN 46237-2517 | 2016-09-07 |
| 1215388426 | Stephanie Bandstra | Clinical Nurse Specialist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2016-06-29 |
| 1295198562 | Katrina Hawkins | Clinical Nurse Specialist | 1481 W 10th St, Richard L Roudebush Va Medical Center, Indianapolis, IN 46202-2803 | 2016-04-03 |
| 1528435427 | Jennifer L Woodard | Clinical Nurse Specialist | 1115 N Ronald Reagan Pkwy, Ste 141, Avon, IN 46123-6913 | 2015-08-26 |
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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.