PROACTIVE - CRAWFORDSVILLE DPC (NPI# 1174169908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174169908 |
| Entity Type | Organization |
| Organization Name | PROACTIVE - CRAWFORDSVILLE DPC |
| Practice Address |
1720 Lafayette Rd Ste A Crawfordsville IN 47933-4603 |
| Practice Telephone | 8126451945 |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2019-11-27 |
| Authorized Official Name | ASHLEY LOWE (FINANCE MANAGER) |
| Authorized Official Telephone | 8126451892 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
1720 LAFAYETTE RD STE A |
| City | CRAWFORDSVILLE |
| State | IN |
| Zip Code | 47933-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699228676 | Wellness for Life | Clinic/Center | 1720 Lafayette Rd Ste A, Crawfordsville, IN 47933-4603 | 2016-07-26 |
| 1578194767 | Lauran Bette Nichols | Nurse Practitioner | 1720 Lafayette Rd Ste A, Crawfordsville, IN 47933-4603 | 2020-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093370454 | Mh Nursing of Indiana, PC | Nurse Practitioner | 600 Sr32 West, Crawfordsville, IN 47933 | 2019-05-01 |
| 1336678192 | Latoyia Cherdise Austin | Nurse Practitioner | 600 Sr 32 West, Crawfordsville, IN 47933 | 2017-06-06 |
| 1154579597 | Crossroads Orthotics & Consultation, Inc. | Prosthetic/Orthotic Supplier | 821 S Washington, Crawfordsville, IN 47933 | 2008-08-27 |
| 1487849063 | Assisted Living Concepts Inc | Assisted Living Facility | 1719 South Elm Street, Crawfordsville, IN 47933 | 2007-09-07 |
| 1912129503 | Stephen W. Rasmussen | Dentist | 1485 S. Grant Ave., Suite B, Crawfordsville, IN 47933 | 2007-05-03 |
| 1932244597 | Stephanie Elaine Ford | Physical Therapist | 402 W Market, Crawfordsville, IN 47933 | 2007-02-21 |
| 1285776906 | Thomas A. Clemens | Optometrist | 1615 U.S. 231 South, Crawfordsville, IN 47933 | 2007-02-12 |
| 1730256819 | Nancy Jane Davis | Social Worker | 468 N Woodland Heights Dr, Crawfordsville, IN 47933 | 2006-11-30 |
| 1881761963 | Jennifer Sue Slavens | Counselor | 468 N Woodland Heights Drive, Crawfordsville, IN 47933 | 2006-11-30 |
| 1639249188 | Regina Lee Endicott | Nurse Practitioner | 4537 S Nucor Rd, Crawfordsville, IN 47933 | 2006-11-09 |
| Find all providers in zip 47933 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699228676 | Wellness for Life | Clinic/Center | 1720 Lafayette Rd Ste A, Crawfordsville, IN 47933-4603 | 2016-07-26 |
| 1780071118 | Mason Health Care | Clinic/Center | 4537 S Nucor Rd, Crawfordsville, IN 47933-7969 | 2015-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453626 | Calvary Assembly of God of Demotte, Inc. | Clinic/Center | 1317 15th St. Se, Demotte, IN 46310-9393 | 2020-09-30 |
| 1528683919 | Urban Family Care, LLC | Clinic/Center | 336 Augusta Ln, West Lafayette, IN 47906-8721 | 2020-06-11 |
| 1952924896 | W. Lafayette Health Center | Clinic/Center | 2701b Kent Ave, W Lafayette, IN 47906-1350 | 2020-05-27 |
| 1710525175 | Proactive - South Newton | Clinic/Center | 1388 South 50 East, Kentland, IN 47951 | 2019-12-17 |
| 1902443781 | Proactive - Edinburgh Dpc | Clinic/Center | 220 N Pleasant St, Edinburgh, IN 46124-1300 | 2019-11-29 |
| 1063058311 | Proactive - Eastern Pulaski | Clinic/Center | 715 School Dr, Winamac, IN 46996-1584 | 2019-11-21 |
| 1275179541 | Proactive - New Prairie | Clinic/Center | 605 E Michigan St, Rolling Prairie, IN 46371-9576 | 2019-11-21 |
| 1982255667 | Careatc | Clinic/Center | 59427 County Road 13, Elkhart, IN 46517-3503 | 2019-09-24 |
| 1134777824 | Activate Healthcare - Mcoe Clinic | Clinic/Center | 6920 Parkdale Pl Ste 100, Indianapolis, IN 46254-5604 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| Find all providers with the same taxonomy | ||||
| City | CRAWFORDSVILLE |
| Zip Code | 47933 |
Please comment or provide details below to improve the information on PROACTIVE - CRAWFORDSVILLE DPC.
| 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.