MS. CRISTINA LUBASH (NPI# 1366961757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366961757 |
| Entity Type | Individual |
| Full Name | MS. CRISTINA LUBASH |
| Credential | FNP |
| Practice Address |
3630 Willowcreek Rd Portage IN 46368-5075 |
| Mailing Address |
2022 Kelle Dr Chesterton IN 46304-8708 |
| Practice Telephone | 2193643700 |
| Practice Fax Number | 2193643183 |
| Mailing Telephone | 2193643616 |
| Mailing Fax Number | 2193643610 |
| Enumeration Date | 2017-09-17 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71008501A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 Wall St Unit F, Valparaiso, IN 46383 | 2194622106 | 2194776689 |
| 1536 Vincennes Ave, Chicago Heights, IL 604113458 | 8776928686 |
| Street Address |
3630 WILLOWCREEK RD |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-5075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720074701 | Muhammad Q. Choudry | Emergency Medicine | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2005-09-23 |
| 1396383881 | Jed Leifson | Registered Nurse | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2019-12-15 |
| 1508411315 | Chad Anthony Bogue | Nurse Practitioner | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2019-08-08 |
| 1114468501 | Victoria Anne Pyke | Nurse Practitioner | 3630 Willowcreek Rd, Portage, IN 46368 | 2017-03-17 |
| 1336519685 | Heather Bolan | Speech-Language Pathologist | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2015-09-29 |
| 1346616646 | Porter Group Services, LLC | Hospitalist | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2015-08-20 |
| 1033507538 | Atlantic Silverside Emergency Physicians LLC | Physician Assistant | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2015-01-06 |
| 1235546516 | Reuel Young Uy | Internal Medicine | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2014-07-17 |
| 1124452628 | Ranga Kota Md, PC | Internal Medicine | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2013-09-03 |
| 1891135620 | Kajal Patel Puranik | Family Medicine | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2013-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063031367 | Patricia Evelyn Biel | Nurse Practitioner | 5511 Redwood Avenue, Portage, IN 46368-4302 | 2020-04-16 |
| 1366092975 | Rachel Jaynu Nimely-scott | Nurse Practitioner | 5722 Kingman Ave, Portage, IN 46368-1529 | 2019-09-16 |
| 1174082523 | Upstream Health and Wellness, LLC | Nurse Practitioner | 3200 Willowcreek Rd Ste B, Portage, IN 46368-4486 | 2019-03-15 |
| 1972087161 | Danielle R Geroski | Nurse Practitioner | 9900 Huffman Rd, Portage, OH 43451-9739 | 2018-09-24 |
| 1780927889 | Marianne Harman | Nurse Practitioner | 6652 Lakewood Ave, Chhabra Medical Corporation PC, Portage, IN 46368-2404 | 2013-03-27 |
| 1164640884 | Barbara Jane Heric | Nurse Practitioner | 6615 S Boundary Rd, Portage, IN 46368-1373 | 2007-04-20 |
| 1063562585 | Manjerngie Cecelia Ndebe | Nurse Practitioner | 451 W. Milham Ave, Portage, MI 49024 | 2007-01-10 |
| 1982204640 | Kaitlyn Renea Davidson | Nurse Practitioner | 3304 Cooley Ct, Portage, MI 49024-7430 | 2020-10-30 |
| 1467052753 | Courtney Brooke Wyant | Nurse Practitioner | 3304 Cooley Ct, Portage, MI 49024-7430 | 2020-10-27 |
| 1114551777 | Kelsey Lankford | Nurse Practitioner | 7901 Angling Rd, Portage, MI 49024-0714 | 2020-02-23 |
| Find all providers in PORTAGE | ||||
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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.