CROSSROADS HEALING ARTS, LLC (NPI# 1295028694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295028694 |
| Entity Type | Organization |
| Organization Name | CROSSROADS HEALING ARTS, LLC |
| Practice Address |
1004 Parkway Ave Suite C Elkhart IN 46516-9326 |
| Practice Telephone | 5742941883 |
| Practice Fax Number | 5742951749 |
| Mailing Telephone | 5742941883 |
| Mailing Fax Number | 5742951749 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2015-02-12 |
| Authorized Official Name | MS. KELLY J BOYER (NURSE PRACTITIONER/OWNER) |
| Authorized Official Telephone | 5742941883 |
| Authorized Official Credential | WHCNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
02002929A | IN | Allopathic & Osteopathic Physicians |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
71001272 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 1067015A | IN | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | CROSSROADS HEALING ARTS, LLC | 21764 Omega Ct, Goshen, IN 46528-7809 |
| Street Address |
1004 PARKWAY AVE SUITE C |
| City | ELKHART |
| State | IN |
| Zip Code | 46516-9326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043288475 | Marquessa D Fisher | Nurse Anesthetist, Certified Registered | 1004 Parkway Ave, Suite B, Elkhart, IN 46516-9348 | 2006-03-10 |
| 1730626979 | Malee Blue | Registered Nurse | 1004 Parkway Ave, Elkhart, IN 46516-9348 | 2017-01-26 |
| 1083074462 | Angela Gingerich | Social Worker | 1004 Parkway Ave, Suite D, Elkhart, IN 46516-9348 | 2016-02-29 |
| 1033584495 | Barbara Ann Doherty | Nurse Anesthetist, Certified Registered | 1004 Parkway Ave, Suite B, Elkhart, IN 46516-9348 | 2015-12-09 |
| 1558705368 | Joanna Beth Woolace | Social Worker | 1004 Parkway Ave, Suite D, Elkhart, IN 46516-9348 | 2013-04-23 |
| 1801198395 | Seth Michael Claxton | Nurse Anesthetist, Certified Registered | 1004 Parkway Ave, Suite B, Elkhart, IN 46516-9348 | 2010-12-03 |
| 1710215686 | Erin E Hillers | Nurse Practitioner | 1004 Parkway Ave, Elkhart, IN 46516-9348 | 2009-12-03 |
| 1326071952 | Reed Stockman | Nurse Anesthetist, Certified Registered | 1004 Parkway Ave, Suite B, Elkhart, IN 46516-9348 | 2006-07-08 |
| 1508802919 | Benny Buslon | Anesthesiology | 1004 Parkway Ave, Suite B, Elkhart, IN 46516-9348 | 2006-06-22 |
| 1720039977 | Great Lakes Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | 1004 Parkway Ave, Suite B, Elkhart, IN 46516 | 2006-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974675 | Courtney Rae Lawson | Nurse Practitioner | 1178 Fremont Ct., Elkhart, IN 46516 | 2020-08-28 |
| 1932690955 | Lisa Cooper | Counselor | 529 S 2nd St, Elkhart, IN 46516 | 2018-05-24 |
| 1780183558 | Evolve Chiropractic, LLC | Chiropractor | 5301 Beck Dr. Suite 3, Elkhart, IN 46516 | 2018-02-07 |
| 1790215168 | Cutting Edge Integrative Pain Centers LLC | Internal Medicine | 242 Waterfall Dr Ste B, Elkhart, IN 46516 | 2017-06-18 |
| 1831448745 | Planned Parenthood of Indiana Elkhart | Clinic/Center | 505 S. Third St., Suite 160, Elkhart, IN 46516 | 2012-09-06 |
| 1588920128 | Physical Therapy Professionals PC | Clinic/Center | 932 Parkway Ave, Ste. B, Elkhart, IN 46516 | 2012-04-09 |
| 1821369091 | Marek Serwatka | Physical Therapist | 932 Parkway Ave Ste B, Elkhart, IN 46516 | 2012-01-19 |
| 1538459904 | Rose M. Mwania | Nurse Anesthetist, Certified Registered | 1004 Parkway Ave Ste A, Elkhart, IN 46516 | 2011-04-19 |
| 1487894838 | Jack Alan Turnock | Dentist | 330 West Lexington Ave, Suite 201, Elkhart, IN 46516 | 2009-02-25 |
| 1225207285 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 30830 Old Us 33, Elkhart, IN 46516 | 2008-02-25 |
| Find all providers in zip 46516 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326160425 | Dorwyn Craig Collier | Family Medicine | 3100 Windsor Court, Elkhart, IN 46514 | 2007-04-06 |
| 1821199431 | Harley Wayne Yoder | Family Medicine | 25651 County Road 20, Elkhart, IN 46517-2310 | 2006-09-26 |
| 1982678769 | Richard Allen Hastings | Family Medicine | 609 W Bristol St, Elkhart, IN 46514-2900 | 2006-02-16 |
| 1639178650 | Bethany L. Mcdaniel-vanderzwaag | Family Medicine | 3421 S Main St, Elkhart, IN 46517 | 2005-07-20 |
| 1326047036 | Thomas M Kolakovich | Family Medicine | 1506 Osolo Rd, Suite A, Elkhart, IN 46514-4122 | 2005-07-15 |
| 1750380424 | Jeffrey S Howe | Family Medicine | 3301 County Road 6 E, Elkhart, IN 46514-7673 | 2005-07-15 |
| 1891791786 | Joseph Scott Russo | Family Medicine | 1300 Johnson St, Elkhart, IN 46514-3406 | 2005-06-24 |
| 1477556918 | Michael Ellsworth Smothers | Family Medicine | 3003 E Lake Dr S, Elkhart, IN 46514-4327 | 2005-05-28 |
| 1588667117 | Heather A. Macklem | Family Medicine | 2115 W Lexington Ave, Elkhart, IN 46514-1423 | 2005-05-27 |
| 1487657664 | Larry Burch | Family Medicine | 313 W Parker, Elkhart, TX 75839-7612 | 2005-05-23 |
| Find all providers in ELKHART | ||||
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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.