MRS. RENEE LYNN LAX (NPI# 1265636476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265636476 |
| Entity Type | Individual |
| Full Name | MRS. RENEE LYNN LAX |
| Credential | N.P. |
| Practice Address |
215 Broadway Gary IN 46402-1221 |
| Mailing Address |
18820 White Oak Avenue Lowell IN 46356 |
| Practice Telephone | 2198884221 |
| Practice Fax Number | 2198884197 |
| Mailing Telephone | 2198884221 |
| Mailing Fax Number | 2198884197 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
71001140A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
215 BROADWAY |
| City | GARY |
| State | IN |
| Zip Code | 46402-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629399506 | Tiffany Smiley | Nurse Practitioner | 215 Broadway, Ms Hb-1, Gary, IN 46402-1221 | 2010-06-15 |
| 1245436567 | Karen Rose Rohrman | Nurse Practitioner | 215 Broadway, Gary, IN 46402-1221 | 2007-06-24 |
| 1558562553 | Kay Ellen Sullivan | Registered Nurse | 215 Broadway, Gary, IN 46402-1221 | 2007-05-29 |
| 1427146802 | Sandra Jan Drewry | Internal Medicine | 215 Broadway, Gary, IN 46402-1221 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790154417 | Edgewater Systerms for Balanced Living | Community/Behavioral Health | 1106 West 6 Th Avenue, Gary, IN 46402 | 2015-09-23 |
| 1447642772 | Michael Pirtle | Counselor | 1100 W. Fifth Ave, Gary, IN 46402 | 2015-02-24 |
| 1356748370 | Peter F Uchman | Social Worker | 1100 W. 6th Ave., Gary, IN 46402 | 2014-11-20 |
| 1295142594 | Demetria A Macon | Counselor | 1100 W. 6th Ave, Gary, IN 46402 | 2014-07-18 |
| 1396952503 | 21st Century Charter School At Gary | Local Education Agency (LEA) | 556 W Washington, Gary, IN 46402 | 2007-05-17 |
| 1609094630 | Jomon Mathew | Physical Therapist | 353 Tyler St, Gary, IN 46402 | 2007-04-23 |
| 1376677138 | Kovilparambil Xavier Antony | Psychiatry & Neurology | 1100 W 6th Avenue, Gary, IN 46402 | 2007-03-15 |
| 1588759013 | Waltee Douglas | Psychologist | 667 Van Buren, Gary, IN 46402 | 2006-10-03 |
| 1851332514 | Thessa Grace Robertson | Emergency Medicine | 600 Grant Street, Gary, IN 46402 | 2006-06-10 |
| 1932672888 | The Methodist Hospitals, Inc | Pharmacy | 600 Grant St, Gary, IN 46402 | 2019-01-03 |
| Find all providers in zip 46402 | ||||
| Taxonomy Code | 363LX0106X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Occupational Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1275663700 | Patricia S Scheetz | Nurse Practitioner | 3218 Daugherty Dr Ste 140, Lafayette, IN 47909-3997 | 2007-03-06 |
| 1760546022 | Sandra M Higgins | Nurse Practitioner | 4321 Fir St St Catherine Hospital, Suite313, East Chicago, IN 46312 | 2006-12-21 |
| 1114093309 | Mary Ann Ruff | Nurse Practitioner | 1101 Southeastern Ave, Indianapolis, IN 46202 | 2006-11-28 |
| 1255444691 | Janet Ann Myers | Nurse Practitioner | 2855 Northpark Ave, Suite 102, Huntington, IN 46750-4262 | 2006-08-17 |
| 1245240027 | Barbara Ann Chivers | Nurse Practitioner | 1844 Ida Red Rd, Kendallville, IN 46755-2873 | 2006-08-08 |
| 1770044380 | Junaid Hasnain | Nurse Practitioner | 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2019-03-27 |
| 1053886788 | Monica Michele Roadruck | Nurse Practitioner | 3218 Daugherty Dr Ste 140, Lafayette, IN 47909-3997 | 2018-10-09 |
| 1326523853 | Christie L Schmitt | Nurse Practitioner | 4755 Highway 31 E, Clarksville, IN 47129-9220 | 2018-10-01 |
| 1053715045 | Vicky Thompson | Nurse Practitioner | 1302 S Rogers St, Bloomington, IN 47403 | 2014-10-20 |
| Find all providers with the same taxonomy | ||||
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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.