MRS. DEBORAH L. GUNDEN (NPI# 1376514380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376514380 |
| Entity Type | Individual |
| Full Name | MRS. DEBORAH L. GUNDEN |
| Credential | NP |
| Practice Address |
2240 Karisa Dr Suite 1 Goshen IN 46526-6943 |
| Practice Telephone | 5745346757 |
| Practice Fax Number | 5745370357 |
| Mailing Telephone | 5745346757 |
| Mailing Fax Number | 5745370357 |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2010-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71000520A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BLUE CROSS BLUE SHIELD | 000000606423 | 01 |
| IN | 200506110 | 05 |
| Street Address |
2240 KARISA DR SUITE 1 |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526-6943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960525 | Dicky Girish Bhagat | Internal Medicine | 2240 Karisa Dr, Suite 1, Goshen, IN 46526-6943 | 2005-05-23 |
| 1861582694 | Goshen Medical Practice,llc | Internal Medicine | 2240 Karisa Dr, Suite1, Goshen, IN 46526-6943 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
| 1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
| 1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
| 1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| Find all providers in zip 46526 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396971339 | Jean Winifred Crandall I | Nurse Practitioner | 10 Clark Rd, Goshen, NY 10924-5708 | 2009-06-04 |
| 1144290164 | Carmen Burgos | Nurse Practitioner | 110 Wells Farm Rd, Goshen, NY 10924-6740 | 2006-01-23 |
| 1013244730 | Erin Botti | Nurse Practitioner | 1 Hatfield Ln Ste 1b, Goshen, NY 10924-6753 | 2009-11-17 |
| 1578797304 | Diane Teresa White | Nurse Practitioner | 1700 S Main St, Goshen, IN 46526-4724 | 2009-05-07 |
| 1982872743 | Laureen A Feller | Nurse Practitioner | 30 Hatfield Ln, Ste 101, Goshen, NY 10924-6766 | 2008-02-14 |
| 1992825632 | Ourania Walraven | Nurse Practitioner | 70 Hatfield Ln, Suite 203, Goshen, NY 10924-6734 | 2007-03-29 |
| 1003902248 | Ingrid Kay Bowser | Nurse Practitioner | 200 High Park Ave, Goshen, IN 46526-4810 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348292 | Joshua Thomas Sandifer | Nurse Practitioner | 9030 Cline Ave Ste A, Highland, IN 46322-2204 | 2020-05-22 |
| 1083262992 | Francesca E Udoh | Nurse Practitioner | 51875 Whitestable Ln, South Bend, IN 46637-1371 | 2019-09-04 |
| 1326694027 | Mary Zody | Nurse Practitioner | 8177 N Meridian Rd, Denver, IN 46926-2328 | 2019-08-18 |
| 1851852727 | Carmen Lagaye Bogle | Nurse Practitioner | 1050 W 72nd St, Indianapolis, IN 46260-4037 | 2019-03-25 |
| 1245701556 | Tami Marie Weston | Nurse Practitioner | 7913 E County Road 50 N, Moores Hill, IN 47032-9612 | 2018-12-13 |
| 1932674298 | Hillary E Powell | Nurse Practitioner | 1115 Ronald Reagan Pkwy Ste 364, Avon, IN 46123-6914 | 2018-10-12 |
| 1861991176 | Kimberly S Houchens | Nurse Practitioner | 135 N Pennsylvania St Ste 1610, Indianapolis, IN 46204-2448 | 2018-02-02 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1194259879 | Bahtrena Rogers | Nurse Practitioner | 9302 Budd Run Dr, Indianapolis, IN 46250-1322 | 2017-04-19 |
| 1881125854 | Tajuana Davis | Nurse Practitioner | 3253 Autumn Ash Dr, Zionsville, IN 46077-7105 | 2017-03-22 |
| Find all providers with the same taxonomy | ||||
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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.