MRS. HALIE HOANG KUDUMULA (NPI# 1588058739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588058739 |
| Entity Type | Individual |
| Full Name | MRS. HALIE HOANG KUDUMULA |
| Credential | NNP-BC |
| Practice Address |
11115 Parkview Plaza Dr Fort Wayne IN 46845-1701 |
| Mailing Address |
1234 E Dupont Rd Suite 1 Fort Wayne IN 46825-1545 |
| Practice Telephone | 2606726400 |
| Practice Fax Number | 2606726459 |
| Mailing Telephone | 2606726400 |
| Mailing Fax Number | 2606726459 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
28221352A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11115 PARKVIEW PLAZA DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932106317 | Jayesh P Patel | Pediatrics | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2005-06-30 |
| 1003473307 | Angela Booth | Registered Nurse | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2019-05-22 |
| 1942696356 | Sarah E Brandenberger | Genetic Counselor, MS | 11115 Parkview Plaza Dr, Attn: Sarah King, Fort Wayne, IN 46845-1701 | 2015-04-13 |
| 1639425291 | Lisa Marie Piwoszkin | Pediatrics | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2012-07-31 |
| 1235424482 | Christen A Merkler | Nurse Practitioner | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2011-06-16 |
| 1730400714 | Rachel Miller | Registered Nurse | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2010-06-14 |
| 1225250129 | Ravi Kudumula | Pediatrics | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2007-05-02 |
| 1104950799 | Win Boon | Pediatrics | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2007-03-15 |
| 1700984002 | Emily J Deneve | Nurse Practitioner | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2006-09-20 |
| 1992812861 | Professional Emergency Physicians Inc | Emergency Medicine | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2006-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528665585 | Alexis Kate Felger | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-10-02 |
| 1235424482 | Christen A Merkler | Nurse Practitioner | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2011-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245861848 | Cindy Ann Syrek | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260 | 2020-02-01 |
| 1972164630 | Robyn Renee Thomas | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2019-06-24 |
| 1295393239 | Andrea Dee Coons | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2019-06-04 |
| 1417451147 | Hollie Elizabeth Ainley | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260 | 2018-03-19 |
| 1477073880 | Amanda F Keafer | Nurse Practitioner | 7150 Clearvista Dr, Indianapolis, IN 46256-1695 | 2017-06-27 |
| 1578803185 | Delores Ann Troyer | Nurse Practitioner | 615 N Michigan St, South Bend, IN 46601-1033 | 2013-02-18 |
| 1366715492 | Kelley Ann Thompson | Nurse Practitioner | 1201 S Main St, Crown Point, IN 46307-8481 | 2012-02-21 |
| 1285878918 | Mary Ann Norris | Nurse Practitioner | 4199 Gateway Blvd, Newburgh, IN 47630-8940 | 2009-04-24 |
| 1063662252 | Amy Mowery | Nurse Practitioner | 8091 Township Line Rd, Suite 207, Indianapolis, IN 46260-2494 | 2008-09-24 |
| 1669621587 | Mary C Chase | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2008-09-16 |
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| City | FORT WAYNE |
| Zip Code | 46845 |
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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.