JENNY SUE EVERSMAN (NPI# 1568793248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568793248 |
| Entity Type | Individual |
| Full Name | JENNY SUE EVERSMAN |
| Credential | PTA |
| Practice Address |
2827 Northgate Blvd Fort Wayne IN 46835-2900 |
| Mailing Address |
5837 W Wallen Rd Fort Wayne IN 46818-9363 |
| Practice Telephone | 2607152850 |
| Mailing Telephone | 2607152850 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 06002991A | IN | Other Service Providers |
| Street Address |
2827 NORTHGATE BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46835-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457468894 | Indiana Health and Rehabilitation Centers | Skilled Nursing Facility | 2827 Northgate Blvd, Fort Wayne, IN 46835-2903 | 2006-08-23 |
| 1225422918 | Brianna Miller | Speech-Language Pathologist | 2827 Northgate Blvd, Fort Wayne, IN 46835-2900 | 2015-03-20 |
| 1245620897 | Vander Fields | Speech-Language Pathologist | 2827 Northgate Blvd, Fort Wayne, IN 46835-2900 | 2015-02-03 |
| 1407264559 | Christi Wiard | Physical Therapy Assistant | 2827 Northgate Blvd, Fort Wayne, IN 46835-2900 | 2014-07-31 |
| 1013329341 | Caleb Oren | Occupational Therapist | 2827 Northgate Blvd, Fort Wayne, IN 46835-2900 | 2014-05-21 |
| 1104236108 | Ryan Diederich | Physical Therapy Assistant | 2827 Northgate Blvd, Fort Wayne, IN 46835-2900 | 2014-04-30 |
| 1427470848 | Katie Ford | Occupational Therapy Assistant | 2827 Northgate Blvd, Fort Wayne, IN 46835-2900 | 2014-01-21 |
| 1134476724 | Rachel Marie Kline | Speech-Language Pathologist | 2827 Northgate Blvd, Fort Wayne, IN 46835-2900 | 2012-08-14 |
| 1881940617 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2827 Northgate Blvd, Fort Wayne, IN 46835 | 2012-07-30 |
| 1467783324 | Cynthia Marie Faulkner | Physical Therapy Assistant | 2827 Northgate Blvd, Fort Wayne, IN 46835-2900 | 2010-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760993810 | Longe Enterprises Corp | Eyewear Supplier (Equipment, not the service) | 5711 Ymca Park Dr East, Fort Wayne, IN 46835 | 2017-10-17 |
| 1801144464 | Tracey Gordon | Physical Therapy Assistant | 2827 Northgate Boulevard, Fort Wayne, IN 46835 | 2012-08-29 |
| 1316179682 | Janet L Daniel | Counselor | 310 E Dupont Road, Suite 2, Fort Wayne, IN 46835 | 2009-08-20 |
| 1083868863 | Nicholas Joseph Sullivan | Chiropractor | 8320 Chapel Bend Drive, Fort Wayne, IN 46835 | 2008-11-06 |
| 1497922090 | Michelle A Bailey | Registered Nurse | 6108 Maplecrest Road, Fort Wayne, IN 46835 | 2008-05-13 |
| 1073789954 | Charles Arthur Bolinger | Technician, Other | 4546 Maplecrest Rd, Ft Wayne, IN 46835 | 2008-05-01 |
| 1851469878 | Richard J Klaehn | Optometrist | 4536 Maplecrest Road, Ft. Wayne, IN 46835 | 2006-11-30 |
| 1639272339 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 6220 St Joseph Center Rd, Fort Wayne, IN 46835 | 2006-09-07 |
| 1275649014 | Adrienne Meyer | Pharmacist | 7909 Brixham Place, Fort Wayne, IN 46835 | 2006-08-22 |
| 1750378147 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4430 Elsdale Dr, Fort Wayne, IN 46835 | 2005-09-30 |
| Find all providers in zip 46835 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679078398 | Wright Choice Hairquarters | Specialist | 1815 Fox Point Trl Apt 2, Fort Wayne, IN 46816-2450 | 2018-03-26 |
| 1225581945 | Hossam Eldine Kamal Youssef | Specialist | 7230 Engle Rd Ste 303, Fort Wayne, IN 46804-2227 | 2016-07-28 |
| 1245600972 | Pediatric Cardiology Associates | Specialist | 5107 N Bend Dr, Fort Wayne, IN 46804-1753 | 2015-10-07 |
| 1598168197 | Melinda Elise Smith | Specialist | 5812 Maplecrest Rd, Fort Wayne, IN 46835-3840 | 2014-09-27 |
| 1881000222 | Denise Sparks | Specialist | 6415 Benham Drive, Fort Wayne, IN 46815 | 2014-07-07 |
| 1790076453 | Susan Anne Walstra | Specialist | 4601 Heatherwind Dr, Apt. D, Fort Wayne, IN 46815-7135 | 2011-04-28 |
| 1265755250 | William A Argus Md PC | Specialist | 7030 Pointe Inverness Way Ste 240, Fort Wayne, IN 46804-7925 | 2010-03-05 |
| 1033376413 | A Step Ahead Therapies, LLC | Specialist | 6013 Belle Isle Ln, Fort Wayne, IN 46835-1263 | 2008-05-21 |
| 1932370590 | Kerri Jo Trentacosti | Specialist | 5939 Brighton Meadows Dr, Apt. C, Fort Wayne, IN 46804-7664 | 2008-03-21 |
| 1649458662 | Bernice Wilson | Specialist | 4202 Buell Dr, Fort Wayne, IN 46807-2743 | 2008-01-31 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46835 |
Please comment or provide details below to improve the information on JENNY SUE EVERSMAN.
| 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.