JORIE J. MOBERLEY (NPI# 1093717746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093717746 |
| Entity Type | Individual |
| Full Name | JORIE J. MOBERLEY |
| Credential | PHD, CPNP |
| Practice Address |
9470 Broadway Crown Point IN 46307-5722 |
| Mailing Address |
1040 Sierra Dr Suite 400 Greenwood IN 46143-7241 |
| Practice Telephone | 2196613260 |
| Practice Fax Number | 2196623765 |
| Mailing Telephone | 3175284284 |
| Mailing Fax Number | 3178658355 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2013-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
28142503A | IN | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 71002006A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM TRADITIONAL | 000000721668 | 01 |
| IN | 200206460 | 05 |
| Street Address |
9470 BROADWAY |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-5722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003372475 | Nichole Elaine Roberts | Nurse Practitioner | 9470 Broadway, Crown Point, IN 46307 | 2019-02-11 |
| 1023549326 | Destiny Harrell-washington | Pediatrics | 9470 Broadway, Crown Point, IN 46307-5722 | 2017-03-27 |
| 1639470685 | Christina Ha | Pediatrics | 9470 Broadway, Crown Point, IN 46307-5722 | 2010-11-08 |
| 1467693580 | Sahar Gamal Hanna | Personal Emergency Response Attendant | 9470 Broadway, Crown Point, IN 46307-5722 | 2009-03-19 |
| 1841385952 | Hemendra S Parikh | Pediatrics | 9470 Broadway, Crown Point, IN 46307-5722 | 2006-10-04 |
| 1710910815 | Timothy E. Wiess | Obstetrics & Gynecology | 9470 Broadway, Crown Point, IN 46307-5722 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912530346 | Samantha Rainbolt | Nurse Practitioner | Vanguard Eldercare Group, 2100 N Main St, Crown Point, IN 46307-4716 | 2020-02-13 |
| 1396218608 | Jennifer Dobrowolski | Nurse Practitioner | 5521 W Lincoln Hwy Ste 300, Crown Point, IN 46307-1117 | 2019-01-09 |
| 1710584834 | Mya Yee Nandar | Nurse Practitioner | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2020-10-01 |
| 1386280253 | Greg Wade | Nurse Practitioner | 1201 S Main St, Crown Point, IN 46307-8481 | 2019-11-26 |
| 1356998710 | Jennifer M Okeefe | Nurse Practitioner | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2019-08-21 |
| 1568026011 | Carol Gaye Green | Nurse Practitioner | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2019-04-30 |
| 1871068940 | Jalyn N Deery | Nurse Practitioner | 12800 Mississippi Pkwy Ste A201, Crown Point, IN 46307-6902 | 2018-10-04 |
| 1083197131 | Heather Ronelle Bloomfield | Nurse Practitioner | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2018-09-13 |
| 1528555216 | Gregory Marshall | Nurse Practitioner | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2018-04-18 |
| 1689190100 | Kaitlin Kendys | Nurse Practitioner | 1205 S Main St Ste 101, Crown Point, IN 46307-3677 | 2017-08-16 |
| Find all providers in CROWN POINT | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
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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.