LITTLE CLINIC OF IN LLC (NPI# 1558791384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558791384 |
| Entity Type | Organization |
| Organization Name | LITTLE CLINIC OF IN LLC |
| Practice Address |
815 Highlander Point Dr Floyds Knobs IN 47119 |
| Mailing Address |
Po Box 932958 Cleveland OH 44193-0028 |
| Practice Telephone | 8129237146 |
| Mailing Telephone | 6154254200 |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2019-06-21 |
| Authorized Official Name | MARC R WATKINS (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 6154254200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
815 HIGHLANDER POINT DR |
| City | FLOYDS KNOBS |
| State | IN |
| Zip Code | 47119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124052931 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 815 Highlander Point Dr, Floyds Knobs, IN 47119-9470 | 2006-07-10 |
| 1649800822 | Amber Catherine Lee Hamilton | Pharmacist | 815 Highlander Point Dr, Floyds Knobs, IN 47119-9470 | 2020-01-16 |
| 1841830296 | Alan Patrick Tucker | Pharmacist | 815 Highlander Point Dr, Floyds Knobs, IN 47119-9470 | 2020-01-14 |
| 1295375566 | Julie Adams | Pharmacist | 815 Highlander Point Dr, Floyds Knobs, IN 47119-9470 | 2020-01-14 |
| 1780099820 | David Keith | Nurse Practitioner | 815 Highlander Point Dr, Floyds Knobs, IN 47119-9470 | 2014-06-27 |
| 1407146780 | Taylor Condra | Pharmacist | 815 Highlander Point Dr, Floyds Knobs, IN 47119-9470 | 2011-04-07 |
| 1225222821 | Warren Ellis Toney | Pharmacist | 815 Highlander Point Dr, Floyds Knobs, IN 47119-9470 | 2007-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962028829 | Knobs Damily Dental, LLC | Dentist | 3684 Us-150 #9, Floyds Knobs, IN 47119 | 2020-06-17 |
| 1629603915 | Tds In Six LLC | Clinic/Center | 3684 Us- 150 #9, Floyds Knobs, IN 47119 | 2020-03-06 |
| 1811537095 | Marla Ann Carroll | Pharmacist | 815 Highlander Point Drive, Floyds Knobs, IN 47119 | 2020-01-15 |
| 1538710538 | Janet A Slaughter | Technician | 4022 Tanglewood Drive, Floyds Knobs, IN 47119 | 2019-09-23 |
| 1760932263 | Logan Popp | Occupational Therapist | 3700 Lafeyette Parkway, Floyds Knobs, IN 47119 | 2016-10-07 |
| 1265805717 | Smile Academy of Kentucky | Dentist | 2776 Campion Road, Floyds Knobs, IN 47119 | 2015-11-05 |
| 1427451277 | Traci Hutchins | Physical Therapist | 3700 Lafayette Parkway, Floyds Knobs, IN 47119 | 2014-10-07 |
| 1447594387 | Maria Agnes Boha | Family Medicine | 5016 S Skyline Drive, Floyds Knobs, IN 47119 | 2012-11-15 |
| 1780716118 | Glen Snow | Specialist/Technologist | 5510 Cooper Creek, Floyds Knobs, IN 47119 | 2007-03-12 |
| 1184733842 | Stephen L Stiller Dds PC | Dentist | 3525 Paoli Pike, Floyds Knobs, IN 47119 | 2006-08-29 |
| Find all providers in zip 47119 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932493657 | Kristie C Upton | Nurse Practitioner | 800 Highlander Point Dr, Suite 300, Floyds Knobs, IN 47119-9465 | 2011-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
| 1578162459 | Kourtney Marie Terry | Nurse Practitioner | 128 Miner Rd, Avilla, IN 46710-9690 | 2020-10-21 |
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1730788720 | Camille Mae Carl | Nurse Practitioner | 6441 Anna Louise Dr, Charlestown, IN 47111-8797 | 2020-10-20 |
| 1124626585 | Dustin Mikesell | Nurse Practitioner | 1000 E Main St Ste 104, Danville, IN 46122-1948 | 2020-10-16 |
| 1144828799 | Mina Desai-patel | Nurse Practitioner | 14698 Drayton Dr, Noblesville, IN 46062-8230 | 2020-10-15 |
| 1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
| 1023616125 | Kimberly Dawn Calloway | Nurse Practitioner | 5306 E Blocher Rd, Lexington, IN 47138-8803 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | FLOYDS KNOBS |
| Zip Code | 47119 |
Please comment or provide details below to improve the information on LITTLE CLINIC OF IN LLC.
| 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.