MRS. HALIE HOANG KUDUMULA


Address: 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701
Phone: 2606726400

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 11115 PARKVIEW PLAZA DR
City FORT WAYNE
State IN
Zip Code 46845-1701

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LN0005X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City FORT WAYNE
Zip Code 46845

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Dataset Information

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.

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