SUE A KRIEG (NPI# 1104126978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104126978 |
| Entity Type | Individual |
| Full Name | SUE A KRIEG |
| Other Name | SUE A KELLE |
| Credential | FNP-C |
| Practice Address |
3277 Liberty Blvd Ste A Boonville IN 47601-9659 |
| Mailing Address |
Po Box 13059 Belfast ME 04915-4021 |
| Practice Telephone | 8128978500 |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2019-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 71003439A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71003439A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3277 LIBERTY BLVD STE A |
| City | BOONVILLE |
| State | IN |
| Zip Code | 47601-9659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851393110 | Sumir Bhateja | Internal Medicine | 3277 Liberty Blvd Ste A, Boonville, IN 47601-9659 | 2005-06-01 |
| 1326352519 | Malea Dawn Wolfe | Nurse Practitioner | 3277 Liberty Blvd Ste A, Boonville, IN 47601-9659 | 2010-07-30 |
| 1134162175 | Jennifer A Sims | Nurse Practitioner | 3277 Liberty Blvd Ste A, Boonville, IN 47601-9659 | 2006-06-14 |
| 1891745733 | John L Myers | Family Medicine | 3277 Liberty Blvd Ste A, Boonville, IN 47601-9659 | 2006-05-11 |
| 1013992346 | Jeffrey D Hunter | Family Medicine | 3277 Liberty Blvd Ste A, Boonville, IN 47601-9659 | 2005-12-09 |
| 1023017035 | Edward Payot Lagunzad | Family Medicine | 3277 Liberty Blvd Ste A, Boonville, IN 47601-9659 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617622 | Dante J Grasso | Dentist | 602 W. Locust St., Boonville, IN 47601 | 2018-07-30 |
| 1053785774 | Michael P Royalty Md LLC | Pain Medicine | 4888 Lost Lake Ct, Boonville, IN 47601 | 2015-11-18 |
| 1982097911 | Doctor James E. Eash, D.d.s., P.C. | Exclusive Provider Organization | 911 Aigner Drive, Boonville, IN 47601 | 2015-03-16 |
| 1073734315 | Warrick County School Corp. | Local Education Agency (LEA) | 300 East Gum Street, Boonville, IN 47601 | 2007-05-02 |
| 1811042237 | St. Marys Warrick Hospital, Inc. | Psychiatric Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-24 |
| 1073687877 | James E Eash | Dentist | 911 Aigner Dr, Boonville, IN 47601 | 2006-11-20 |
| 1902073554 | Tri-state Behavioral Health LLC | Psychiatry & Neurology | 1116 Millis Ave, St. Mary's Warrick, Boonville, IN 47601 | 2008-05-13 |
| 1073668273 | St. Mary's Warrick Hospital, Inc. | Medicare Defined Swing Bed Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-25 |
| 1790889046 | Jeffrey P Kolb | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-09-08 |
| 1376631572 | Kolb & Kolb Dds LLC | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-10-11 |
| Find all providers in zip 47601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801014360 | Kathleen G. Lenz | Nurse Practitioner | 1417 Bingham Rd, Boonville, MO 65233-2229 | 2007-04-23 |
| 1265503130 | Eric Elliott | Nurse Practitioner | 2400 Boonslick Dr, Boonville, MO 65233-1935 | 2006-11-13 |
| 1265046585 | Jacqueline Small | Nurse Practitioner | 899 Aigner Dr, Boonville, IN 47601-8473 | 2020-09-03 |
| 1235779620 | Aisha S Havill | Nurse Practitioner | 3277 Liberty Blvd, Boonville, IN 47601-9659 | 2020-01-13 |
| 1619517513 | Kimberly Lewis | Nurse Practitioner | 899 Aigner Dr, Boonville, IN 47601-8473 | 2020-01-09 |
| 1982123170 | Luiza M Savin | Nurse Practitioner | 13500 Airport Rd, Boonville, CA 95415-9133 | 2017-09-19 |
| 1982053385 | Michelle Lynn Wilson | Nurse Practitioner | 899 Aigner Dr, Boonville, IN 47601-8473 | 2016-06-07 |
| 1699155895 | Amanda Lampman | Nurse Practitioner | 13407 State Route 12, Boonville, NY 13309-4954 | 2015-06-02 |
| 1164790465 | Central Missouri Healthcare Associates, LLC | Nurse Practitioner | 1417 Bingham Rd, Boonville, MO 65233-2229 | 2011-12-01 |
| 1245516673 | O'hara Lyn Norman | Nurse Practitioner | 606 E Spring St, Boonville, MO 65233-1523 | 2011-10-31 |
| Find all providers in BOONVILLE | ||||
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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.