NIKKI L O'ROURKE (NPI# 1336377670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336377670 |
Entity Type | Individual |
Full Name | NIKKI L O'ROURKE |
Credential | NP |
Practice Address |
1919 E 52nd St Ste 200 Indianapolis IN 46205-1381 |
Practice Telephone | 3174290120 |
Mailing Telephone | 3174290120 |
Mailing Fax Number | 3178007730 |
Enumeration Date | 2009-06-25 |
Last Update Date | 2019-08-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
71002948A | IN | Allopathic & Osteopathic Physicians |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
71002948A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201108760 | 05 |
Street Address |
1919 E 52ND ST STE 200 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46205-1381 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922569904 | Twynea Manning | Nurse Practitioner | 1919 E 52nd St Ste 200, Indianapolis, IN 46205-1381 | 2019-03-30 |
1457851628 | Sonia Grace | Registered Nurse | 1919 E 52nd St Ste 200, Indianapolis, IN 46205-1381 | 2018-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003383233 | Bombeauty Supply and Salon | Durable Medical Equipment & Medical Supplies | 3010 Lake Shore Dr Unit A, Indianapolis, IN 46205 | 2018-10-25 |
1376034165 | Sade Trenise Evans | Behavior Technician | 4740 Kingsway Drive, Indianapolis, IN 46205 | 2018-05-29 |
1972057354 | Danielle Mandigo | Social Worker | 4068 Winthrop Ave, Indianapolis, IN 46205 | 2016-08-15 |
1386032613 | Hear Indiana Inc | Speech-Language Pathologist | 4740 Kingsway Dr., Suite 33, Indianapolis, IN 46205 | 2015-01-09 |
1114237336 | Greenhouse and Associates Inc. | Psychologist | 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 | 2010-10-21 |
1265686638 | Crown Medical Transportation | Non-emergency Medical Transport (VAN) | 4637 Round Lake Rd Ste G, Indianapolis, IN 46205 | 2008-11-11 |
1003075912 | Monica Silvia Oclander | Nurse Practitioner | Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 | 2008-06-05 |
1881895647 | Amber Casto | Counselor | 2626 East 46th Street, Suite J, Indianapolis, IN 46205 | 2007-05-30 |
1952502098 | Challenge Foundation Academy | Contractor | 3980 Meadows Dr., Indianapolis, IN 46205 | 2007-05-29 |
1588871909 | Korinne Fox | Social Worker | 3675 N, Washington Blvd., Indianapolis, IN 46205 | 2007-05-16 |
Find all providers in zip 46205 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336751312 | Indystathealthedu, LLC | Family Medicine | 5699 E 71st St Ste 1a, Indianapolis, IN 46220-3987 | 2020-08-20 |
1275802993 | Certified Physician Solutions | Family Medicine | 541 N Park Ave, Indianapolis, IN 46202-3513 | 2011-12-27 |
1780777177 | Lula G. Porter | Family Medicine | 4666 Radnor Road, Indianapolis, IN 46226-2154 | 2006-09-30 |
1588122162 | Physician Solutions | Family Medicine | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2019-03-04 |
1689053290 | Erin Ray | Family Medicine | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 | 2015-05-28 |
1548596372 | Grace Divine, LLC | Family Medicine | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2009-10-29 |
1649417262 | Community Hospitals of Indiana Inc | Family Medicine | 10122 E 10th Street, Suite 220, Indianapolis, IN 46229-2664 | 2009-01-20 |
1811932528 | Robert F. Lebow Md. LLC | Family Medicine | 907 E Michigan St, Indianapolis, IN 46202-3625 | 2006-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316550445 | Indiana University Health Fort Wayne Physicians, LLC | Family Medicine | 7230 Engle Rd Ste 100, Fort Wayne, IN 46804-2234 | 2020-08-28 |
1356864219 | Mobile Primary Care, LLC | Family Medicine | 14074 Trade Center Dr Ste 213, Fishers, IN 46038-4592 | 2017-07-24 |
1962822106 | Patient Care Services Team | Family Medicine | 939 Conner St Ste 200, Noblesville, IN 46060-2622 | 2014-04-25 |
1396002408 | Indiana Home Care Physicians Inc | Family Medicine | 7895 Broadway Ste V, Merrillville, IN 46410-5529 | 2012-04-13 |
1932304417 | George W Merkle Md PC | Family Medicine | 360 N Main St Ste A, Bluffton, IN 46714-2041 | 2007-06-15 |
1891871026 | Mohammad A Rahmany | Family Medicine | 2914 Highway Ave, Highland, IN 46322-1656 | 2006-10-31 |
1194775569 | Bruce Everette Burton | Family Medicine | 1263 Hospital Drive Nw, Suite 240, Corydon, IN 47112-2172 | 2006-05-10 |
1003887498 | Harry Stoller | Family Medicine | 18444 Madison Rd, South Bend, IN 46614-9799 | 2006-02-01 |
1588635650 | Linda S Morse | Family Medicine | 105 Hillcrest Ct, Ossian, IN 46777-9053 | 2006-01-27 |
1538160171 | James E Buchanan | Family Medicine | 2653 County Road 60, Auburn, IN 46706-9511 | 2005-08-04 |
Find all providers with the same taxonomy |
City | INDIANAPOLIS |
Zip Code | 46205 |
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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.