SCOTT ERIKSEN (NPI# 1346611704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346611704 |
| Entity Type | Individual |
| Full Name | SCOTT ERIKSEN |
| Credential | NP |
| Practice Address |
206 W Warren St Middlebury IN 46540-9410 |
| Mailing Address |
710 N. Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5748252146 |
| Practice Fax Number | 5748252182 |
| Mailing Telephone | 5746471610 |
| Mailing Fax Number | 5742376069 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2017-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71005853A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201328150 | 05 | |
| IN | MEDICARE PTAN | 236040148 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538120894 | Scott Eriksen | Occupational Therapist | 3004 W Faidley Ave, Grand Island, NE 68803-4109 | 2006-03-28 |
| Street Address |
206 W WARREN ST |
| City | MIDDLEBURY |
| State | IN |
| Zip Code | 46540-9410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306869144 | G. Weldon Friesen | Family Medicine | 206 W Warren St, Middlebury, IN 46540-0459 | 2006-07-25 |
| 1598161010 | Janet E. Kercher | Nurse Practitioner | 206 W Warren St, Middlebury, IN 46540-9410 | 2014-11-11 |
| 1417397977 | Rachel E. Dunham | Family Medicine | 206 W Warren St, Middlebury, IN 46540-9410 | 2013-06-28 |
| 1114363835 | Beacon Medical Group, Inc. | Family Medicine | 206 W Warren St, Middlebury, IN 46540-9410 | 2013-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104312172 | Deborah Carol Nethercutt | Nurse Practitioner | 226 W Us Highway 20, Middlebury, IN 46540 | 2018-07-02 |
| 1699277160 | Playful Healing, Inc. | Clinic/Center | 300 Wayne Street, Suite A, Middlebury, IN 46540 | 2018-03-01 |
| 1932648839 | Greta Slabach | Prevention Professional | 205 Southern Cross Dr, Middlebury, IN 46540 | 2017-02-13 |
| 1043460652 | Patricia Sue Berry | Licensed Practical Nurse | 303 Twin Oaks Dr., Middlebury, IN 46540 | 2008-09-19 |
| 1629136536 | Eunice Munn | Social Worker | 106 East Berry Street, Middlebury, IN 46540 | 2006-12-04 |
| 1750354890 | Donald L Munn | Marriage & Family Therapist | 106 E Berry St, Middlebury, IN 46540 | 2006-02-09 |
| 1629524988 | Firefly Home Care LLC | In Home Supportive Care | 100 South Main Street, Middlebury, IN 46540 | 2016-08-28 |
| 1396803805 | Donald Munn | Social Worker | 106 East Berry Street, Middlebury, IN 46540 | 2006-12-05 |
| 1790707974 | Elizabeth B Gingrich | Family Medicine | 206 W. Warren St, Middlebury, IN 46540-0459 | 2006-07-24 |
| 1104847664 | Norman S. Waggy | Family Medicine | 206 W. Warren Street, Middlebury, IN 46540-0459 | 2006-07-21 |
| Find all providers in zip 46540 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302517 | Renee Lynnette Hylkema | Nurse Practitioner | 402 Skyview Dr, Middlebury, IN 46540-9567 | 2020-10-06 |
| 1104312172 | Deborah Carol Nethercutt | Nurse Practitioner | 226 W Us Highway 20, Middlebury, IN 46540 | 2018-07-02 |
| 1487052593 | Ania Mortier | Nurse Practitioner | 102 A Court St, Middlebury, VT 05753 | 2014-12-06 |
| 1174939839 | Brian Pervis | Nurse Practitioner | 900 Straits Tpke Ste 205d, Middlebury, CT 06762-2800 | 2014-07-02 |
| 1295162063 | Kathleen Lombard | Nurse Practitioner | 44 Collins Dr Ste 202, Middlebury, VT 05753-8502 | 2013-10-10 |
| 1144209016 | Leslie Gerdinier Orelup | Nurse Practitioner | 44 Collins Dr, Suite 201, Middlebury, VT 05753-8528 | 2006-01-10 |
| 1548893506 | Theresa Ann Clark | Nurse Practitioner | 420 N Main St, Middlebury, IN 46540-8985 | 2020-02-18 |
| 1619451770 | Kate Shaper | Nurse Practitioner | 1330 Exchange St Ste 201, Middlebury, VT 05753-4464 | 2018-09-24 |
| 1750873345 | Gailya Nicole Go | Nurse Practitioner | 1155 N 1200 W, Middlebury, IN 46540-9372 | 2018-05-31 |
| 1649785163 | Kelley Elwell | Nurse Practitioner | 104 Porter Dr, Middlebury, VT 05753-8527 | 2017-12-06 |
| Find all providers in MIDDLEBURY | ||||
| City | MIDDLEBURY |
| Zip Code | 46540 |
Please comment or provide details below to improve the information on SCOTT ERIKSEN.
| 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.