MICHAEL E CRISWELL (NPI# 1679977128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679977128 |
Entity Type | Individual |
Full Name | MICHAEL E CRISWELL |
Credential | CNS |
Practice Address |
1500 Salem St Lafayette IN 47904-2164 |
Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
Practice Telephone | 7654488000 |
Mailing Telephone | 7654488000 |
Enumeration Date | 2014-10-13 |
Last Update Date | 2020-03-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
28074750A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | ANTHEM PROVIDER NUMBER | 000000905209 | 01 |
IN | 201262580 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932129111 | Michael David Criswell | Optometrist | 652 Coleman Blvd, Suite 104, Mount Pleasant, SC 29464 | 2006-07-20 |
Street Address |
1500 SALEM ST |
City | LAFAYETTE |
State | IN |
Zip Code | 47904-2164 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568448876 | Tamara Loewen Hazbun | Emergency Medicine | 1500 Salem St, Lafayette, IN 47904-2164 | 2005-12-19 |
1801246467 | Jacqulyn Burgess | Registered Nurse | 1500 Salem St, Lafayette, IN 47904-2164 | 2016-06-15 |
1942656186 | Amanda Dehne | Registered Nurse | 1500 Salem St, Lafayette, IN 47904-2164 | 2016-05-06 |
1134527807 | Rebecca J Hauck | Registered Nurse | 1500 Salem St, Lafayette, IN 47904-2164 | 2014-12-12 |
1962840785 | Amy Sue Mclaughlin | Registered Nurse | 1500 Salem St, Lafayette, IN 47904-2164 | 2013-06-14 |
1487920310 | Laurie L Lebegue | Specialist/Technologist, Other | 1500 Salem St, Lafayette, IN 47904-2164 | 2012-03-26 |
1356659403 | Leslie Anne Bentinganan | Family Medicine | 1500 Salem St, Lafayette, IN 47904-2164 | 2010-09-22 |
1154598563 | Tasbirul Islam | Internal Medicine | 1500 Salem St, Lafayette, IN 47904-2164 | 2008-05-14 |
1346413713 | Leslie E Harshman | Specialist/Technologist, Other | 1500 Salem St, Lafayette, IN 47904-2164 | 2008-04-08 |
1376715631 | Teri Anne Anderson | Specialist/Technologist, Other | 1500 Salem St, Lafayette, IN 47904-2164 | 2008-03-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
Find all providers in zip 47904 |
Taxonomy Code | 364SM0705X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Medical-Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730248030 | Molly B Janovsky | Clinical Nurse Specialist | 901 Macarthur Blvd, Wound Ostomy Clinic, Munster, IN 46321-2901 | 2006-12-06 |
1639237407 | Opal K Porras | Clinical Nurse Specialist | 901 Macarthur Blvd, Would Ostomy Clinic, Munster, IN 46321-2901 | 2006-12-05 |
1740230531 | Lorraine Kay Widdall | Clinical Nurse Specialist | 8317 Calumet Ave, Munster, IN 46321-1737 | 2006-05-11 |
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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.