MRS. DAWN D STIDHAM


Address: 2326 18th St, Suite 130, Columbus, IN 47201-5359
Phone: 8123760555

MRS. DAWN D STIDHAM (NPI# 1700256062) 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) 1700256062
Entity Type Individual
Full Name MRS. DAWN D STIDHAM
Credential NP
Practice Address 2326 18th St
Suite 130
Columbus
IN 47201-5359
Mailing Address 4809 E Lee Turner Rd
Columbus
IN 47201-3377
Practice Telephone 8123760555
Mailing Telephone 4193460752
Enumeration Date 2015-09-30
Last Update Date 2016-01-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 71005926A IN Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner 28191983A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 201333360 05

Office Location

Street Address 2326 18TH ST
SUITE 130
City COLUMBUS
State IN
Zip Code 47201-5359

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790779445 Murray Gastroenterology, LLC Internal Medicine 2326 18th St, Ste 120, Columbus, IN 47201-5359 2005-09-08
1184237067 Sasha Edmondson Registered Nurse 2326 18th St, Columbus, IN 47201-5359 2020-08-28
1437520194 Columbus Regional Health Physicians, LLC Family Medicine 2326 18th St, Suite 220, Columbus, IN 47201-5362 2015-10-07
1174994834 Columbus Regional Health Physicians, LLC Family Medicine 2326 18th St, Suite 210, Columbus, IN 47201-5362 2015-10-07
1124498605 Columbus Regional Health Physicians, LLC Family Medicine 2326 18th St, Suite 120, Columbus, IN 47201-5362 2015-09-28
1376804641 Carla Elaine Talley Nurse Practitioner 2326 18th St, Suite 210, Columbus, IN 47201-5359 2012-06-04
1255594982 Physicians Practice Organization, Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) 2326 18th St, Suite 130, Columbus, IN 47201-5362 2008-07-02
1699933648 Mark Royer Otolaryngology 2326 18th St, Suite 230, Columbus, IN 47201-5359 2008-05-27
1639374903 Laura Michelle Burger Audiologist 2326 18th St, Suite 230, Columbus, IN 47201-5359 2007-06-18
1497956916 Physician Practice Organization Family Medicine 2326 18th St, Suite 120, Columbus, IN 47201-5359 2007-05-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699389569 Ryanne Nicole Slavens Speech-Language Pathologist 1974 Glenmoor Drive, Columbus, IN 47201 2020-09-08
1023670759 Alisha Nicole Scoville Counselor 2630 22nd Street, Columbus, IN 47201 2019-07-02
1467964718 Columbus Radiology Physicians LLC Radiology 2400 E. 17th Street, Columbus, IN 47201 2017-10-26
1790148849 Gabriel Woon Specialist 913 25th St., Columbus, IN 47201 2016-04-05
1144680604 Forefront Dermatology, S.c. Dermatology 244 Westwood Blvd, Columbus, IN 47201 2016-02-26
1871832550 Jennifer Lynn Grant Nurse Practitioner 836 Jackson St., Columbus, IN 47201 2013-01-31
1235404526 Eric Philip Tannenbaum Orthopaedic Surgery 940 N Marr Rd Ste C, Columbus, IN 47201 2012-03-20
1881994176 Terri Ann Brewer Social Worker 12000 W. Moores Vineyard Rd, Columbus, IN 47201 2010-11-02
1255654620 The Kane Group LLC Durable Medical Equipment & Medical Supplies 927 Fourth Street, Columbus, IN 47201 2010-03-12
1023243771 Allison K Royer Otolaryngology 2326 18th Street, Suite 230, Columbus, IN 47201 2009-05-26
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

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1952913618 Cynthia Marie Nonamaker Nurse Practitioner 4641 Ridge Rd, Columbus, MS 39705-2862 2020-08-23
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1972136422 Junauh Mariah Allgood Nurse Practitioner 1006 11th Ave N Apt A, Columbus, MS 39701-3543 2020-02-12
1790325660 Lisa Corinne Sofocleous Nurse Practitioner 250 Brodbelt Ln Apt 204, Columbus, OH 43215-2458 2020-01-08
1093366551 Karla Kornsey Nurse Practitioner 23206 Columbus Rd Ste B, Columbus, NJ 08022-1904 2019-09-26
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Competitor

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City COLUMBUS
Zip Code 47201

Improve Information

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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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