URSULA PENROSE (NPI# 1144439506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144439506 |
| Entity Type | Individual |
| Full Name | URSULA PENROSE |
| Credential | N.P. |
| Practice Address |
995 S Clarizz Blvd Bloomington IN 47401 |
| Mailing Address |
995 S Clarizz Blvd Bloomington IN 47401-5588 |
| Practice Telephone | 8123533060 |
| Practice Fax Number | 8123533070 |
| Mailing Telephone | 8123533060 |
| Mailing Fax Number | 8123533070 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71002368A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
71002368A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200860730 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 995 S Clarizz Blvd, Bloomington, IN 47401 | 8123533060 | 8123533070 |
| Street Address |
995 S CLARIZZ BLVD |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750327 | Susan K Lee | Nurse Practitioner | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2005-06-16 |
| 1073084612 | Daniel Wade Rademacher | Nurse Practitioner | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2018-12-07 |
| 1114473717 | Miranda Conard | Pharmacist | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2016-09-01 |
| 1881070324 | Christine Boardman | Nurse Practitioner | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2015-08-06 |
| 1548519572 | Indiana University Health Southern Indiana Physicians, Inc. | Durable Medical Equipment & Medical Supplies | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2012-09-06 |
| 1144576232 | Rebekah Moore | Nurse Practitioner | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2012-07-26 |
| 1003137126 | Mahesh Kumar Sreedasyam | Family Medicine | 995 S Clarizz Blvd, Bloomington, IN 47401 | 2010-06-14 |
| 1235396045 | Ryan Niehaus | Family Medicine | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2008-05-20 |
| 1154507978 | Sarah Suzanne Hartung | Family Medicine | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2008-01-10 |
| 1487836409 | Raluca Ioana Vucescu | Internal Medicine | 995 S Clarizz Blvd, Bloomington, IN 47401-5588 | 2007-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| 1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| Find all providers in zip 47401 | ||||
| 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 |
|---|---|---|---|---|
| 1821615485 | Denise Michelle Alexander | Nurse Practitioner | 815 West 2nd Street, Bloomington, IN 47403-2212 | 2020-06-30 |
| 1578198420 | Jessica Ashley Wargo | Nurse Practitioner | 1319 N Veterans Pkwy Ste 3b, Bloomington, IL 61704-6428 | 2020-03-10 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1275084170 | Christina Lisowski | Nurse Practitioner | 2412 E Washington St Ste 4b, Bloomington, IL 61704-1613 | 2016-10-17 |
| 1528479771 | Cura Medical Group, LLC | Nurse Practitioner | 13 Red Stone Ct, Bloomington, IL 61704-8403 | 2014-05-09 |
| 1790118586 | Anastasia Kovalaske | Nurse Practitioner | 1401 Eastland Dr Suite B, Bloomington, IL 61761-3514 | 2013-08-15 |
| 1528342730 | Theresa Rose Woodard | Nurse Practitioner | 3209 W Fullerton Pike Ste E, Bloomington, IN 47403-4060 | 2011-10-06 |
| 1205160975 | Stacey Kaye England | Nurse Practitioner | 123 S Franklin Rd, Bloomington, IN 47404-5296 | 2009-09-28 |
| 1700065505 | Joan Marie Goodman | Nurse Practitioner | 383 S. Park Ridge Rd., Ste 102, Bloomington, IN 47401-8574 | 2007-10-29 |
| 1376638262 | Rose M Seguin | Nurse Practitioner | 421 S College Ave, Bloomington, IN 47403-1514 | 2006-10-04 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47401 |
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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.