NICOLE BLAUVELT (NPI# 1528516226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528516226 |
| Entity Type | Individual |
| Full Name | NICOLE BLAUVELT |
| Practice Address |
11109 Parkview Plaza Dr Fort Wayne IN 46845-1701 |
| Mailing Address |
3926 New Vision Dr Bldg H Fort Wayne IN 46845-1712 |
| Practice Telephone | 2602662500 |
| Practice Fax Number | 2602662514 |
| Mailing Telephone | 2602668213 |
| Mailing Fax Number | 2604585658 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
71006671 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11109 PARKVIEW PLAZA DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994163 | Ramabrahmam Gullapalli | Anesthesiology | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2005-07-01 |
| 1548868375 | Lindsey Stangland | Social Worker | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-10-14 |
| 1417563594 | Angela Morales | Registered Nurse | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-09-23 |
| 1649883687 | Rachel Capito | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-28 |
| 1407467004 | Ashley Logan | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-17 |
| 1417568247 | Curtis Dale Stump Jr. | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-14 |
| 1013528496 | Christina Kay Ford | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-11 |
| 1174141709 | Zsanett Kormanyos | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-07-09 |
| 1265050025 | Allison Catherine Clemens | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-07-08 |
| 1821610056 | Elle Stronczek | Dietitian, Registered | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508389990 | Healthy Body LLC | Nurse Practitioner | 2515 Ladue Ln, Fort Wayne, IN 46804-2796 | 2017-07-18 |
| 1336278753 | Nikki J Mann | Nurse Practitioner | 3010 Independence Dr, Fort Wayne, IN 46808-1328 | 2007-03-02 |
| 1831708965 | Anna N. Kemler | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-24 |
| 1376189514 | Jasmin Rahman | Nurse Practitioner | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2019-11-22 |
| 1881160885 | Jenniffer Lee Price | Nurse Practitioner | 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 | 2018-10-17 |
| 1639659956 | Jodi Barnett | Nurse Practitioner | 3512 Stellhorn Rd, Fort Wayne, IN 46815 | 2018-08-16 |
| 1245758622 | Alyssa R. Slabaugh | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2017-09-06 |
| 1841713229 | Christopher E. Bowman | Nurse Practitioner | 7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804-4159 | 2017-07-18 |
| 1174073373 | Anne G W Harless | Nurse Practitioner | 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 | 2016-10-12 |
| 1225584295 | Purdue University | Nurse Practitioner | 2101 E Coliseum Blvd, Wu 234, Fort Wayne, IN 46805-1445 | 2016-08-30 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
Please comment or provide details below to improve the information on NICOLE BLAUVELT.
| 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.