KATHERINE ANN BACK (NPI# 1578964169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578964169 |
| Entity Type | Individual |
| Full Name | KATHERINE ANN BACK |
| Credential | NP |
| Practice Address |
3266 N Meridian St Indianapolis IN 46208-5846 |
| Practice Telephone | 8442255687 |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71005150A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
28198239A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1700 N Illinois St, Eskenazi Health Midtown Community Mental Health, Indianapolis, IN 462021316 | 3175545798 | 3175545778 |
| Street Address |
3266 N MERIDIAN ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46208-5846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729137 | Karen S Rance | Registered Nurse | 3266 N Meridian St, Suite 900, Indianapolis, IN 46208-5846 | 2005-06-08 |
| 1003437278 | Hayley Norwood Holmes | Registered Nurse | 3266 N Meridian St, Indianapolis, IN 46208-5846 | 2020-04-29 |
| 1114323151 | Imsg Inc. | Clinic/Center | 3266 N Meridian St, Suite 708, Indianapolis, IN 46208-5846 | 2014-11-18 |
| 1598188260 | Meridian Medical Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3266 N Meridian St, Suite 101, Indianapolis, IN 46208 | 2014-01-30 |
| 1336562578 | Meridian Medical Services Inc | Radiology | 3266 N Meridian St, Suite 101, Indianapolis, IN 46208 | 2014-01-23 |
| 1568691699 | Phyllis I Okolo | Internal Medicine | 3266 N Meridian St, Indianapolis, IN 46208-5846 | 2009-07-10 |
| 1255579942 | Meridian Medical Services, Inc | Radiology | 3266 N Meridian St, Suite 101, Indianapolis, IN 46208-5846 | 2009-02-03 |
| 1265632566 | Tammie Rena Maiden | Nurse Practitioner | 3266 N Meridian St, Indianapolis, IN 46208 | 2007-07-24 |
| 1912100694 | Meridian Foot and Ankle Center | Podiatrist | 3266 N Meridian St, Suite 802, Indianapolis, IN 46208-5846 | 2007-06-08 |
| 1669692513 | Dr Segun Rasaki Md LLC | Family Medicine | 3266 N Meridian St, Suite 601, Indianapolis, IN 46208-5846 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650924 | Kristine M Sullivan | Dietitian, Registered | 2700 Doctor M.l.k. Jr St., Indianapolis, IN 46208 | 2017-03-13 |
| 1760877591 | Michael A. Davis, D.d.s. Family Dental LLC | Dentist | 3737 N. Meridian Ste. 410, Indianapolis, IN 46208 | 2015-03-30 |
| 1831432574 | Curtis Stennett | Psychiatry & Neurology | 563 W Westfield Blvd, Indianapolis, IN 46208 | 2013-04-01 |
| 1417206392 | Planned Parenthood of Indiana Midtown | Clinic/Center | 3750 N. Meridian St., Suite 100, Indianapolis, IN 46208 | 2012-09-06 |
| 1629216932 | Mary Carol Calloway Follman | Occupational Therapist | 5502 N. Kenwood Ave., Indianapolis, IN 46208 | 2009-01-23 |
| 1871760751 | Jacob Odell Roberts | Chiropractor | 2413 N Meridian St, Indianapolis, IN 46208 | 2008-05-10 |
| 1285846360 | Midwest Residential Services, Inc. | Preferred Provider Organization | 2425 N. Meridian Street, Suite B, Indianapolis, IN 46208 | 2007-05-03 |
| 1881814879 | Cheryl Ann Moore | Social Worker | 3171 N. Meridian Street, Indianapolis, IN 46208 | 2007-05-01 |
| 1679612881 | Kenneth Ackles Sr. | Chiropractor | 3231 North Meridian Street, Suite 502, Indianapolis, IN 46208 | 2007-02-05 |
| 1013062918 | William D. Alexy | Psychologist | 6110 N. Meridian, W.dr, Indianapolis, IN 46208 | 2007-01-24 |
| Find all providers in zip 46208 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851852727 | Carmen Lagaye Bogle | Nurse Practitioner | 1050 W 72nd St, Indianapolis, IN 46260-4037 | 2019-03-25 |
| 1861991176 | Kimberly S Houchens | Nurse Practitioner | 135 N Pennsylvania St Ste 1610, Indianapolis, IN 46204-2448 | 2018-02-02 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1194259879 | Bahtrena Rogers | Nurse Practitioner | 9302 Budd Run Dr, Indianapolis, IN 46250-1322 | 2017-04-19 |
| 1538512090 | Martita Rolanda Meeks | Nurse Practitioner | 7240 Shadeland Sta Ste 300, Indianapolis, IN 46256-3944 | 2016-07-20 |
| 1194177022 | Stephanie R Young | Nurse Practitioner | 8360 S Emerson Ave Ste 100, Indianapolis, IN 46237-8746 | 2016-07-03 |
| 1114394426 | Tamara Sue Roberts | Nurse Practitioner | 7911 N Michigan Road, Indianapolis, IN 46268-1360 | 2015-08-24 |
| 1023426780 | Lesli White | Nurse Practitioner | 1 Allison Way, Indianapolis, IN 46222-3271 | 2014-07-25 |
| 1386070274 | Kimberly Demasie | Nurse Practitioner | 7520 E 88th Pl, Suite 101, Indianapolis, IN 46256-1253 | 2013-09-24 |
| 1669788204 | Shannon L Childers-page | Nurse Practitioner | 1701 N Senate Blvd # A5231, Indianapolis, IN 46202-1239 | 2010-08-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46208 |
Please comment or provide details below to improve the information on KATHERINE ANN BACK.
| 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.