JUSTINA BREIGHANN WELLMAN


Address: 1402 E County Line Rd, Indianapolis, IN 46227-0963
Phone: 3178877805

JUSTINA BREIGHANN WELLMAN (NPI# 1225557168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225557168
Entity Type Individual
Full Name JUSTINA BREIGHANN WELLMAN
Credential AGACNP
Practice Address 1402 E County Line Rd
Indianapolis
IN 46227-0963
Mailing Address 6626 E 75th St Ste 500
Indianapolis
IN 46250-2890
Practice Telephone 3178877805
Practice Fax Number 3174976982
Enumeration Date 2017-09-12
Last Update Date 2020-09-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
71007552A IN Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
71007552A IN Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
71007552A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 300008560 05

Office Location

Street Address 1402 E COUNTY LINE RD
City INDIANAPOLIS
State IN
Zip Code 46227-0963

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306842026 Ashish Patel Internal Medicine 1402 E County Line Rd, Indianapolis, IN 46227 2005-06-27
1740898931 Hayley Robertson Pharmacist 1402 E County Line Rd, Indianapolis, IN 46227-0963 2020-07-14
1255957668 Trisha Kinder Pharmacy Technician 1402 E County Line Rd, Indianapolis, IN 46227-0963 2020-06-22
1124677000 Amanda Marie Mccoy Ignaut Nurse Practitioner 1402 E County Line Rd, Indianapolis, IN 46227-0963 2019-09-04
1609436252 Megan Siebert Clinical Nurse Specialist 1402 E County Line Rd, Indianapolis, IN 46227-0963 2019-06-17
1235602335 Sara R Reichert Registered Nurse 1402 E County Line Rd, Indianapolis, IN 46227-0963 2019-01-10
1548737372 Aubrey E. Mcmahon Physician Assistant 1402 E County Line Rd, Indianapolis, IN 46227-0963 2018-10-30
1003392440 Cortnie N Yoder Physician Assistant 1402 E County Line Rd, Indianapolis, IN 46227-0963 2018-07-18
1295211639 Sarah Rice Physician Assistant 1402 E County Line Rd, Indianapolis, IN 46227 2018-07-18
1336632108 Jessika A Ford Nurse Practitioner 1402 E County Line Rd, Indianapolis, IN 46227 2018-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679184477 Zachry Skinner Specialist/Technologist 1683 E Hanna Ave, Indianapolis, IN 46227 2020-08-14
1104481415 Corinne Mcdonald Music Therapist 7502 Madison Avenue, Indianapolis, IN 46227 2019-05-02
1205318649 Kesha Conner Counselor 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 2018-09-01
1609369719 Victoria Lynn West Arnold Physician Assistant 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 2018-06-13
1518466960 Debra Cottongim Physical Therapy Assistant 6329 South East St, Ste A, Indianapolis, IN 46227 2018-02-12
1962943019 Fresenius Medical Care Indiana, LLC Clinic/Center 6826 Madison Ave, Indianapolis, IN 46227 2017-03-09
1205386687 Kylie Rochelle Bontrager Dentist 3658 East Street, Indianapolis, IN 46227 2016-10-10
1013371137 Kayla Ford Occupational Therapist 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 2016-04-06
1639551344 Sara Allyn Shrivastav Technician, Other 3711 E Southport Rd, Indianapolis, IN 46227 2015-06-18
1598146565 Theodore Christian Seger Family Medicine 610 E Southport Rd Ste 205, Indianapolis, IN 46227 2015-06-15
Find all providers in zip 46227

Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417567249 Sarah E Munson Nurse Practitioner 1633 N Capitol Ave Ste 680, Indianapolis, IN 46202-1281 2020-08-06
1750844890 Sarah Kathleen Cherry Nurse Practitioner 4326 Maldenhair Dr, Indianapolis, IN 46239-9033 2019-04-06
1184103459 Katherine Rose Ahaus Nurse Practitioner 1801 Senate Blvd Ste 230, Indianapolis, IN 46202-1252 2018-08-08
1386197770 Masita Isabel Poray Nurse Practitioner 5435 E 16th St Ste 500, Indianapolis, IN 46218-4869 2016-08-02
1316370612 Paradigm Living Concepts, LLC Nurse Practitioner 8904 Bash St Ste B, Indianapolis, IN 46256-1286 2013-08-10
1902414709 Michelle Nicole Gibson Nurse Practitioner 1801 N Senate Blvd, Indianapolis, IN 46202-1228 2020-07-17
1467081455 Sarah Elizabeth Wheeler Nurse Practitioner 1801 N Senate Blvd Ste 635, Indianapolis, IN 46202-1212 2020-04-02
1154965531 Monica Deryckere Nurse Practitioner 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 2019-10-29
1699318592 Marcy Penrod Nurse Practitioner 8333 Naab Rd, Indianapolis, IN 46260-5924 2019-10-23
1124677000 Amanda Marie Mccoy Ignaut Nurse Practitioner 1402 E County Line Rd, Indianapolis, IN 46227-0963 2019-09-04
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46227

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Dataset Information

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.

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