MS. CAROL PETRY (NPI# 1508816182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508816182 |
| Entity Type | Individual |
| Full Name | MS. CAROL PETRY |
| Credential | NP |
| Practice Address |
9 N Crane Ave Spencer IN 47460-1507 |
| Mailing Address |
Po Box 1329 Bloomington IN 47402-1329 |
| Practice Telephone | 8128292237 |
| Practice Fax Number | 8128296342 |
| Mailing Telephone | 8123535855 |
| Mailing Fax Number | 8123535867 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71000346 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200202930A | 05 |
| Street Address |
9 N CRANE AVE |
| City | SPENCER |
| State | IN |
| Zip Code | 47460-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174580427 | Joseph Car | Internal Medicine | 9 N Crane Ave, Spencer, IN 47460-1507 | 2006-04-28 |
| 1417495672 | Lyndsey Wilson | Nurse Practitioner | 9 N Crane Ave, Spencer, IN 47460-1507 | 2017-02-08 |
| 1033537030 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 9 N Crane Ave, Spencer, IN 47460-1507 | 2014-04-07 |
| 1689952772 | Kenneth E Marshall | Family Medicine | 9 N Crane Ave, Spencer, IN 47460 | 2011-07-25 |
| 1366600231 | Indiana University Health Southern Indiana Physicians, Inc | Clinic/Center | 9 N Crane Ave, Spencer, IN 47460-1507 | 2008-05-28 |
| 1073571600 | B. Diane Wells | Internal Medicine | 9 N Crane Ave, Spencer, IN 47460-1507 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588173280 | Rebecca Roell | Specialist/Technologist | 622 W State Highway 46, Spencer, IN 47460 | 2017-09-25 |
| 1740739275 | Owen County Family Young Men's Christian Association | Health Educator | 1111 W. State Hwy 46, Spencer, IN 47460 | 2016-09-26 |
| 1164515748 | Corinne R Riebow | Counselor | 272 North Us Highway 231, Spencer, IN 47460 | 2006-10-02 |
| 1649348459 | Owen County Emergency Medical Services | Ambulance | 333 West State Highway 46, Spencer, IN 47460-0372 | 2006-12-01 |
| 1043242951 | Christi Ryan | Social Worker | 909 W Hillside Ave, Spencer, IN 47460-0595 | 2006-07-07 |
| 1417089434 | Stephanie Beth Sare | Day Training/Habilitation Specialist | 650 N East St, Spencer, IN 47460-1007 | 2007-03-12 |
| 1174645915 | Julia M. Fine | Nurse Practitioner | 911 W Hillside Ave, Spencer, IN 47460-1119 | 2007-04-04 |
| 1881644672 | Betty Jean Lawrance | Social Worker | 909 W Hillside Ave, Spencer, IN 47460-1119 | 2006-05-11 |
| 1427418284 | Cindy Rhodenbaugh | Social Worker | 909 W Hillside Ave, Spencer, IN 47460-1119 | 2016-03-07 |
| 1780058347 | Megan Telgemeyer | Counselor | 909 W Hillside Ave, Spencer, IN 47460-1119 | 2015-11-19 |
| Find all providers in zip 47460 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750340980 | Heather Christine Gibson | Nurse Practitioner | 907 Old Mcminnville St, Spencer, TN 38585-3200 | 2006-03-17 |
| 1922642552 | Kayla Vanderhoff | Nurse Practitioner | 1200 1st Ave E, Spencer, IA 51301-4342 | 2019-11-06 |
| 1154823326 | Jill A. Webb | Nurse Practitioner | 337 11th St Sw, Spencer, IA 51301-5849 | 2018-03-05 |
| 1720401961 | Megan Vanotterloo | Nurse Practitioner | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2014-01-23 |
| 1467888685 | Kristin L Eineberg | Nurse Practitioner | 407 Main St, Spencer, MA 01562-1909 | 2013-09-19 |
| 1649568825 | Bobbi Jeanne Honkomp | Nurse Practitioner | 1200 1st Ave E, Suite B, Spencer, IA 51301-4342 | 2011-07-21 |
| 1508180639 | Rachel Goss | Nurse Practitioner | 35 Bob Babbs Dr, Spencer, IN 47460-6828 | 2010-03-18 |
| 1184724007 | Kathryn S Nelson | Nurse Practitioner | 337 11th St Sw, Spencer, IA 51301-5849 | 2006-09-22 |
| 1750396404 | Natalie Lynn Potrament | Nurse Practitioner | 116 E 11th St, Suite 101, Spencer, IA 51301-4364 | 2006-07-30 |
| 1487638599 | Elizabeth Ann Stewart | Nurse Practitioner | 12716 Ne 36th St, Spencer, OK 73084-9103 | 2005-12-01 |
| Find all providers in SPENCER | ||||
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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.