MARA NICOLE HUMBERG


Address: 4293 Fletcher Dr, Lafayette, IN 47909-8401
Phone: 7654299047

MARA NICOLE HUMBERG (NPI# 1760089445) 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) 1760089445
Entity Type Individual
Full Name MARA NICOLE HUMBERG
Other Name MARA NICOLE LAVELLE
Credential RN
Practice Address 4293 Fletcher Dr
Lafayette
IN 47909-8401
Practice Telephone 7654299047
Mailing Telephone 7654299047
Enumeration Date 2020-10-06
Last Update Date 2020-10-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse 28224434A IN Nursing Service Providers

Office Location

Street Address 4293 FLETCHER DR
City LAFAYETTE
State IN
Zip Code 47909-8401

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1801296967 Lacey Hintz Occupational Therapy Assistant 2308 Edgelea Dr, Lafayette, IN 47909 2014-08-26
1457691180 Alicia A Duncan Lactation Consultant, Non-RN 207 Buckingham Drive, Lafayette, IN 47909 2013-02-16
1558646505 Tammie Anne Shockley Pharmacist 2800 Old Us 231 S, Walgreens 10974, Lafayette, IN 47909 2011-10-20
1952553448 Regina R Pilotte Occupational Therapist 3864 East 500 South, Lafayette, IN 47909 2008-10-16
1811182405 Assisted Living Concepts Inc Assisted Living Facility 167 West 240 South, Lafayette, IN 47909 2007-09-07
1073716585 Julia Ann Dillon Counselor 3554 Promenade Pkwy Ste E, Lafayette, IN 47909 2007-06-11
1639291503 Winifred A. Landis Pharmacist 2806 Us 231 South, Lafayette, IN 47909 2007-04-04
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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932716156 Cassie Renee Meynard Registered Nurse 1100 Bertrand Dr # A, Lafayette, LA 70506-4110 2020-10-01
1336753185 Mary Elizabeth Wagner Registered Nurse 1804 Connemara Ln, Lafayette, IN 47905-7935 2020-08-31
1942831318 Tera May Hornbeck Registered Nurse 2274 Flowering Crab Dr E, Lafayette, IN 47905-7729 2020-02-03
1417434416 Mary E Hammack Registered Nurse 2770 Arapahoe Rd Ste 132-221, Lafayette, CO 80026-8018 2018-07-23
1285139949 Kelly Lanigan Registered Nurse 825 Kaliste Saloom Rd Brandywine 3 Suite 100, Lafayette, LA 70508-2837 2018-03-26
1275076911 Julie House-rhoda Registered Nurse 1501 Seneca Cir, Lafayette, CO 80026-1324 2016-11-29
1477000339 Aimee Voiselle Registered Nurse Provider Health Services, 1509 Dulles Dr, Lafayette, LA 70506 2016-09-07
1396292645 Catherine E Fenner Registered Nurse 2512 Cowley Dr, Lafayette, CO 80026-9172 2016-09-03
1396299475 Terri Duplichan Registered Nurse 110 Hidden Acres Dr, Apt. C, Lafayette, LA 70503-6170 2016-08-07
1487004685 Amy Hawk Registered Nurse 869 Reliez Station Rd, Lafayette, CA 94549-4826 2016-06-17
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Competitor

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City LAFAYETTE
Zip Code 47909

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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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