SAMANTHA JO CRUSENBERRY


Address: 650 S Walker St, Bloomington, IN 47403-2158
Phone: 8123340698

SAMANTHA JO CRUSENBERRY (NPI# 1538767041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538767041
Entity Type Individual
Full Name SAMANTHA JO CRUSENBERRY
Other Name SAMANTHA JO BOLIGNER
Credential WHNP
Practice Address 650 S Walker St
Bloomington
IN 47403-2158
Practice Telephone 8123340698
Mailing Telephone 8123340698
Enumeration Date 2020-10-16
Last Update Date 2020-10-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WW0101X Registered Nurse
Specialization: Women's Health Care, Ambulatory
28222223A IN Nursing Service Providers

Office Location

Street Address 650 S WALKER ST
City BLOOMINGTON
State IN
Zip Code 47403-2158

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114005402 John R Labban Specialist 650 S Walker St, Bloomington, IN 47403-2158 2006-11-02
1396239968 Rebecca Rachele Taylor Nurse Practitioner 650 S Walker St, Bloomington, IN 47403-2158 2018-06-18
1245544535 Robert R Harris Obstetrics & Gynecology 650 S Walker St, Bloomington, IN 47403-2158 2010-07-29
1508040593 John Labban Md PC Specialist 650 S Walker St, Bloomington, IN 47403-2158 2007-12-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043783673 Brook Whitaker Registered Nurse 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 2019-01-07
1598251175 Jacob Edward Lundorf Nurse Practitioner 2100 S Liberty Dr Ste B, Bloomington, IN 47403 2018-07-06
1568973717 Gregory Thomas Dougan Physician Assistant 418 South Landmark Avenue, Bloomington, IN 47403 2017-10-16
1295276160 Indiana Center for Recovery, LLC Substance Abuse Rehabilitation Facility 1004 W 1st Street, Bloomington, IN 47403 2017-03-13
1144694217 Kayla Dewolf Specialist/Technologist 1471 W Allen St, Bloomington, IN 47403 2015-11-30
1164806444 Monroe Hosoital General Acute Care Hospital 4011 Monroe Medical Park, Bloomington, IN 47403 2015-07-16
1821411588 Jennifer Turner Occupational Therapy Assistant 1023 West Main St, Swiss Villa, Vevay, IN 47403 2014-01-30
1104170232 Kendall Basore Social Worker 445 S. Landmark Ave., Bloomington, IN 47403 2012-10-26
1568715886 Indiana Hearing LLC Hearing Aid Equipment 2019 S Liberty Dr, Bloomington, IN 47403 2012-10-24
1679870232 Accurate Hearing Services Clinic/Center 1355 W Second St, #3, Bloomington, IN 47403 2011-02-17
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Taxonomy Information

Taxonomy Code 163WW0101X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Women's Health Care, Ambulatory

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780052027 Amie K. Hernandez Registered Nurse 6 Westport Ct, Bloomington, IL 61704-8233 2015-09-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073111597 Allyson Diane Hunsinger Registered Nurse 2119 16th St, Bedford, IN 47421-3003 2020-10-16
1477609717 Amy Eileen Reinhard Registered Nurse 200 S Meridian St Ste 400, Indianapolis, IN 46225-1076 2007-01-27
1124109673 Cathryn P Osika Registered Nurse 964 Mezzanine Dr., Lafayette, IN 47905 2006-10-18
1578654679 Delicia Ann Brooks Registered Nurse 8777 Purdue Rd, Suite 300, Indianapolis, IN 46268-3125 2006-09-27
1194238667 Hannah Keener Registered Nurse 2424 Franklin St, Michigan City, IN 46360-4562 2017-11-07
1205287075 Jennifer Condon Registered Nurse 935 E Hanna Ave, Indianapolis, IN 46227-1387 2016-06-23
1336515428 Courtney Burrus Registered Nurse 2040 N Shadeland Ave, Ste 300, Indianapolis, IN 46219-1711 2015-08-12
1558634923 Charlotte Helen Robertson Registered Nurse 3838 N Rural St, Indianapolis, IN 46205-2930 2012-02-16
1770892689 Alissa Anne Cohoat Registered Nurse 2040 N Shadeland Ave, Suite 300, Indianapolis, IN 46219-1734 2010-09-28
1699845628 Amy Christine Kinnett Registered Nurse 13420 N Meridian St, Suite 400, Carmel, IN 46032-1581 2006-11-08
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Competitor

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City BLOOMINGTON
Zip Code 47403

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Dataset Information

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.

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