JAYNE LEE TARGGART (NPI# 1275669079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275669079 |
Entity Type | Individual |
Full Name | JAYNE LEE TARGGART |
Credential | NP-C |
Practice Address |
909 Tiller Dr Valparaiso IN 46385-1304 |
Practice Telephone | 2197626135 |
Mailing Telephone | 2197626135 |
Enumeration Date | 2007-02-26 |
Last Update Date | 2016-11-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71002111A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200868760 | 05 |
Street Address |
909 TILLER DR |
City | VALPARAISO |
State | IN |
Zip Code | 46385-1304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831738657 | William K Mitchell V | Nurse Anesthetist, Certified Registered | 85 E Us-6 Frontage Rd, Valparaiso, IN 46385 | 2019-12-26 |
1235609850 | Krystal Melinda Ketchem | Specialist/Technologist | 786 Mccool Rd Suite 8, Valparaiso, IN 46385 | 2018-11-27 |
1295254738 | Tiffany Rudziewicz | Massage Therapist | 417 Center St., Valparaiso, IN 46385 | 2017-09-15 |
1700255866 | Stephanie Ebsch | Developmental Therapist | 332 W Hwy 6, Valparaiso, IN 46385 | 2015-09-18 |
1851781637 | Emily Bisch | Specialist/Technologist | 304 Alba Ct, Valaparaiso, IN 46385 | 2015-01-30 |
1255734042 | Jacobs Ladder | Early Intervention Provider Agency | 322 W. 806n, Valparaiso, IN 46385 | 2014-10-07 |
1952715062 | Emily Barnes | Occupational Therapist | 332 W. Hwy 6, Valparaiso, IN 46385 | 2014-06-17 |
1073853990 | April M Sanders | Social Worker | 660 W. Morthland Dr, Valparraiso, IN 46385 | 2013-03-01 |
1245528843 | Bridget K Sibo | Social Worker | 2453 Knights Bridge Drive, Valparaiso, IN 46385 | 2011-07-16 |
1053586883 | Luis L Cuellar Jr. | Dentist | 225 Aberdeen Drive, Suite E, Valparaiso, IN 46385 | 2008-04-23 |
Find all providers in zip 46385 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902436330 | Angela Nicole Demorotski | Nurse Practitioner | 2301 Nottingham Dr, Valparaiso, IN 46383-9182 | 2020-01-24 |
1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
1154834372 | Victoria Marie Schwarten | Nurse Practitioner | 2307 Laporte Ave Suite 8, Valparaiso, IN 46383 | 2017-11-09 |
1083081129 | Juana Maria Ambriz De Williams | Nurse Practitioner | 2005 Valparaiso St Ste 210, Valparaiso, IN 46383-3329 | 2015-08-24 |
1205124179 | Kelley L Eshenaur | Nurse Practitioner | 55 University Drive, Suite 102, Valparaiso, IN 46383 | 2011-07-13 |
1972731883 | Marty Lee Walker | Nurse Practitioner | 444 Valparaiso Pkwy, Bld C, Valparaiso, FL 32580-1206 | 2009-06-30 |
1023277738 | Chrysanthemum M Davis | Nurse Practitioner | 1551 South Sturdy Rd., Valparaiso, IN 46383-7883 | 2008-06-06 |
1831317809 | Elise Marta Alverson | Nurse Practitioner | 1406 Laporte Ave, Valparaiso University Health Center, Valparaiso, IN 46383 | 2007-04-23 |
1376601963 | Margaret Marie Sabo | Nurse Practitioner | 2803 Boilermaker Ave, 1f, Valparaiso, IN 46383-8412 | 2006-12-05 |
1457425639 | Julie Ann Koch | Nurse Practitioner | 55 University Dr, Suite 102, Valparaiso, IN 46383-2195 | 2006-11-20 |
Find all providers in VALPARAISO |
City | VALPARAISO |
Zip Code | 46385 |
Please comment or provide details below to improve the information on JAYNE LEE TARGGART.
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.