SHONTA EDMOND (NPI# 1124457791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124457791 |
| Entity Type | Individual |
| Full Name | SHONTA EDMOND |
| Practice Address |
333 E 60th Dr Merrillville IN 46410-3011 |
| Practice Telephone | 2194552447 |
| Practice Fax Number | 2194270432 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
IN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
333 E 60TH DR |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939419 | Milcah Robinson | Technician, Pathology | 6091 Lute Rd Apt 103, Portage, IN 46368-5021 | 2020-10-11 |
| 1679194674 | Brandi Yancey | Technician, Pathology | 11807 Allisonville Rd # 627, Fishers, IN 46038-2313 | 2020-04-30 |
| 1750791786 | Trinette Clark | Technician, Pathology | 3246 Orchard Ave, Indianapolis, IN 46218-1937 | 2014-04-29 |
| 1346581949 | Demetria Buckner | Technician, Pathology | 5901 Walsham Way, Indianapolis, IN 46254-2327 | 2013-03-06 |
| 1184913477 | Anastacio S Meza | Technician, Pathology | 8433 Harrion Dr, Indianapolis, IN 46226-2034 | 2011-04-07 |
| 1386281426 | Autumn Marie Murphy | Technician, Pathology | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-12-09 |
| 1811441470 | Christy Dawn Marshall | Technician, Pathology | 421 Walnut St, Madison, IN 47250-3565 | 2016-08-11 |
| 1790144947 | Good Samaritan Hospital | Technician, Pathology | 615 Dubois St, Vincennes, IN 47591-1048 | 2016-02-16 |
| 1376900985 | Good Samaritan Hospital | Technician, Pathology | 510 W 11th St, Bicknell, IN 47512-9626 | 2016-01-27 |
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on SHONTA EDMOND.
| 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.