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).
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 |
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 |
Street Address |
650 S WALKER ST |
City | BLOOMINGTON |
State | IN |
Zip Code | 47403-2158 |
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 |
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 |
Find all providers in zip 47403 |
Taxonomy Code | 163WW0101X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Women's Health Care, Ambulatory |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780052027 | Amie K. Hernandez | Registered Nurse | 6 Westport Ct, Bloomington, IL 61704-8233 | 2015-09-03 |
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 |
Find all providers with the same taxonomy |
City | BLOOMINGTON |
Zip Code | 47403 |
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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.