WENDY RENEE DUTCHER (NPI# 1194077644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194077644 |
| Entity Type | Individual |
| Full Name | WENDY RENEE DUTCHER |
| Credential | RN |
| Practice Address |
400 Teegarden St La Porte IN 46350-3175 |
| Practice Telephone | 2193260043 |
| Practice Fax Number | 2193268909 |
| Mailing Telephone | 2193260043 |
| Mailing Fax Number | 2193268909 |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28160815A | IN | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 71004235A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 28160815A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE PTAN | 151020022 | 01 |
| IN | 201149460 | 05 | |
| IN | MEDICARE PTAN | 25-9860003 | 01 |
| Street Address |
400 TEEGARDEN ST |
| City | LA PORTE |
| State | IN |
| Zip Code | 46350-3175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891838629 | Susan K Grace | Nurse Practitioner | 400 Teegarden St, Suite B, La Porte, IN 46350-3175 | 2007-02-14 |
| 1447808076 | Denise Doris Grasser | Social Worker | 400 Teegarden St, La Porte, IN 46350-3175 | 2019-08-27 |
| 1538728399 | Healthlinc, Inc | Clinic/Center | 400 Teegarden St, La Porte, IN 46350-3175 | 2019-06-06 |
| 1588051726 | Alexis Dunlap | Nurse Practitioner | 400 Teegarden St, La Porte, IN 46350-3175 | 2015-04-24 |
| 1124456926 | Manogna Katakam | Dentist | 400 Teegarden St, La Porte, IN 46350-3175 | 2013-10-15 |
| 1508139023 | Iryna Cribley | Nurse Practitioner | 400 Teegarden St, La Porte, IN 46350-3175 | 2012-02-14 |
| 1003122474 | Benjamin Lloyd Porter | Dentist | 400 Teegarden St, La Porte, IN 46350-3175 | 2010-08-24 |
| 1386880060 | Indiana University Health La Porte Hospital Inc | Clinic/Center | 400 Teegarden St, La Porte, IN 46350-3175 | 2008-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
| 1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
| 1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
| 1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
| 1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
| 1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
| 1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
| 1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
| 1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
| 1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
| Find all providers in zip 46350 | ||||
| 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 |
|---|---|---|---|---|
| 1134630361 | Veronica Joy Torres | Nurse Practitioner | 1101 Ridgepark Dr, La Porte, TX 77571-2897 | 2017-10-15 |
| 1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
| 1245864057 | Mitchell Steven Molenda | Nurse Practitioner | 1007 Lincolnway, La Porte, IN 46350-3290 | 2020-03-02 |
| 1265997332 | Nicole Renee Fornari | Nurse Practitioner | 2504 Monroe St, La Porte, IN 46350-5241 | 2019-02-04 |
| 1548634926 | Kelly Molenda | Nurse Practitioner | 1007 Lincolnway, La Porte, IN 46350-3201 | 2015-11-22 |
| 1326415423 | Northwest Hospitalist Physicians LLP | Nurse Practitioner | 1007 Lincolnway, La Porte, IN 46350-3201 | 2015-08-25 |
| 1821499328 | Janice Marie Bohlim | Nurse Practitioner | 1509 State St, La Porte, IN 46350-3115 | 2014-09-16 |
| 1174947857 | Peres Holdings LLC | Nurse Practitioner | 505 W Fairmont Pkwy, Suite C, La Porte, TX 77571-6312 | 2014-02-14 |
| 1508290289 | Tracy Elizabeth Blanton | Nurse Practitioner | 1007 Lincolnway, La Porte, IN 46350-3201 | 2013-08-29 |
| 1043256183 | Lorea Ann Harris | Nurse Practitioner | 900 I St, La Porte, IN 46350-5533 | 2006-06-20 |
| Find all providers in LA PORTE | ||||
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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.