JENNIFER COTHRON (NPI# 1376999516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376999516 |
Entity Type | Individual |
Full Name | JENNIFER COTHRON |
Other Name | JENNIFER NICHOLS |
Credential | NP-C |
Practice Address |
333 E County Line Rd Greenwood IN 46143-1079 |
Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2805 |
Practice Telephone | 3174976800 |
Enumeration Date | 2016-05-06 |
Last Update Date | 2020-09-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
28188603A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201394830 | 05 | |
IN | RR MEDICARE | P01723962 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1500 N Ritter Ave, Indianapolis, IN 462193027 | 3178877792 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811528367 | Jennifer Gregory Cothron | Pharmacist | 416 E Mount Vernon St, Somerset, KY 42501-1302 | 2020-02-03 |
1083067037 | Jennifer Cothron | Nurse Practitioner | 3686 Grandview Parkway, Suite 500, Birmingham, AL 35243 | 2016-07-14 |
Street Address |
333 E COUNTY LINE RD |
City | GREENWOOD |
State | IN |
Zip Code | 46143-1079 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912900051 | Debra Larkins | Obstetrics & Gynecology | 333 E County Line Rd, Suite B, Greenwood, IN 46143-1046 | 2005-05-23 |
1093200339 | Tracy Renee Hammond | Nurse Practitioner | 333 E County Line Rd, Greenwood, IN 46143 | 2018-06-28 |
1508258898 | Cassandra Spray | Pharmacist | 333 E County Line Rd, Suite B, Greenwood, IN 46143-1079 | 2015-02-24 |
1295171056 | Ryan J Sanderson | Family Medicine | 333 E County Line Rd, Suite B, Greenwood, IN 46143-1079 | 2013-05-20 |
1144469180 | Kathy Ann Mullin | Nurse Practitioner | 333 E County Line Rd, Suite B, Greenwood, IN 46143-1080 | 2009-02-16 |
1700044963 | Leslie Blaire Parent | Pediatrics | 333 E County Line Rd, Suite B, Greenwood, IN 46143-1079 | 2008-05-23 |
1164691150 | Mery A Kendall | Family Medicine | 333 E County Line Rd, Suite B, Greenwood, IN 46143-1046 | 2008-02-25 |
1790973790 | Terry Ann Forss | Nurse Practitioner | 333 E County Line Rd, Suite B, Greenwood, IN 46143-1079 | 2007-10-04 |
1093910218 | Kathryn Elaine Kasyjanski | Pediatrics | 333 E County Line Rd, Suite B, Greenwood, IN 46143-1079 | 2007-06-18 |
1497853386 | Debra K Taylor | Nurse Practitioner | 333 E County Line Rd, Suite B, Greenwood, IN 46143 | 2006-09-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
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Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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1033737069 | Housecalls/optum for United Health Group | Nurse Practitioner | 518 Euclid Ave, Greenwood, IN 46142-3618 | 2020-07-07 |
1679991129 | Annette Jennings Caldwell | Nurse Practitioner | 3971 Sylvania Plantation Road, Greenwood, FL 32443-0017 | 2014-04-02 |
1598327496 | Stephanie Powers Mccall | Nurse Practitioner | 421 Epting Ave, Greenwood, SC 29646-4041 | 2019-07-01 |
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1558905554 | Amy Hueston | Nurse Practitioner | 313 S Berkley Rd, Kokomo, IN 46901-5114 | 2019-11-01 |
1891338166 | Jayme Lantz | Nurse Practitioner | 20085 Turquoise Ln, Goshen, IN 46528-6294 | 2019-10-19 |
1033761770 | Workplace Health Services | Nurse Practitioner | 1632 W. In-28, Frankfort, IN 46041 | 2019-07-12 |
1164984597 | Care At Home LLC | Nurse Practitioner | 717 Washington Park Blvd, Michigan City, IN 46360-2056 | 2019-04-04 |
1255815379 | Amanda Kay Goins | Nurse Practitioner | 3919 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-6811 | 2018-09-25 |
1972084267 | Kelly Sue Ann Peasley | Nurse Practitioner | 2101 Jackson St Ste 8, Anderson, IN 46016-4341 | 2018-08-24 |
1891271466 | Hilton Health Housecall LLC | Nurse Practitioner | 4340 Trace Wood Dr, Indianapolis, IN 46254-6238 | 2018-07-17 |
1235634221 | Laura D Cannon | Nurse Practitioner | 6375 U S Hwy 6, Portage, IN 46368-5218 | 2018-03-29 |
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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.