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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 300008560 | 05 |
Street Address |
1402 E COUNTY LINE RD |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46227-0963 |
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 |
Find all providers in the same location |
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 Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
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 |
City | INDIANAPOLIS |
Zip Code | 46227 |
Please comment or provide details below to improve the information on JUSTINA BREIGHANN WELLMAN.
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.