MRS. VICKI JO HAZLEWOOD (NPI# 1497994024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497994024 |
| Entity Type | Individual |
| Full Name | MRS. VICKI JO HAZLEWOOD |
| Practice Address |
4315 S 950 E Lafayette IN 47905-9447 |
| Mailing Address |
Po Box 186 Stockwell IN 47983-0186 |
| Practice Telephone | 7652967905 |
| Practice Fax Number | 7652967906 |
| Mailing Telephone | 7652967905 |
| Mailing Fax Number | 7652967906 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
28154421A | IN | Nursing Service Providers |
| Street Address |
4315 S 950 E |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-9447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861711921 | Margaret Gardiner Mitchell | Registered Nurse | 1103 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508-5784 | 2010-05-27 |
| 1144354358 | Dolly Lee Warner | Registered Nurse | 1455 Coal Creek Drive, Unit G, Lafayette, CO 80026 | 2007-03-16 |
| 1760680367 | Mary Zulkoski | Registered Nurse | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2007-07-05 |
| 1235129727 | Diana Fontenot Roy | Registered Nurse | 2390 W Congress St, Lafayette, LA 70506-4205 | 2005-10-26 |
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|---|---|---|---|---|
| 1730786005 | Jennifer Goettemoeller | Registered Nurse | 748 Walkabout Cir N Apt 2c, Carmel, IN 46032-5696 | 2020-10-08 |
| 1649827809 | Lauren Marie Ema | Registered Nurse | 731 77th Ave, Dyer, IN 46311-2305 | 2019-08-22 |
| 1780243972 | Zachary Eppert | Registered Nurse | 1919 E 52nd St, Indianapolis, IN 46205-1377 | 2019-06-11 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1508394792 | Amanda Diane Anderson | Registered Nurse | 2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176-8581 | 2017-06-01 |
| 1184160608 | Sarah Ann Battista | Registered Nurse | 1250 N State Ave, Indianapolis, IN 46201-1162 | 2017-01-07 |
| 1881035632 | Michelle Funk | Registered Nurse | 913 S Westhill Ct, Bloomington, IN 47403-2119 | 2013-07-09 |
| 1457605511 | Cynthia Denise Nanavaty | Registered Nurse | 6525 E 82nd St Ste 210-j, Indianapolis, IN 46250-1545 | 2012-10-28 |
| 1770855835 | Jeanine Marie Kuna | Registered Nurse | 320 S Saint Joseph St, Suite 300, South Bend, IN 46601-2308 | 2012-02-06 |
| 1518125418 | Wecare Extended Medical Services LLC | Registered Nurse | 8206 Salem Church Rd, Charlestown, IN 47111-9262 | 2008-05-28 |
| 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.