MS. DEBBIE FORTMAN (NPI# 1811157779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811157779 |
| Entity Type | Individual |
| Full Name | MS. DEBBIE FORTMAN |
| Practice Address |
6512 Greyridge Blvd Indianapolis IN 46237-3162 |
| Mailing Address |
Po Box 1369 Greenwood IN 46142-6269 |
| Practice Telephone | 3177824346 |
| Practice Fax Number | 3177824347 |
| Mailing Telephone | 3177824346 |
| Mailing Fax Number | 3177824347 |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235500000X | Specialist/Technologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100121240A | 05 |
| Street Address |
6512 GREYRIDGE BLVD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-3162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| Taxonomy Code | 235500000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356667729 | N-balance, LLC | Specialist/Technologist | 7343 E 450 S, Glenwood, IN 46133-9758 | 2010-04-10 |
| 1255574232 | Jason Mcculley | Specialist/Technologist | 3908 S Walnut St, Suite B, Bloomington, IN 47401-7393 | 2009-04-07 |
| 1619143823 | Teresa Renee Wimsatt | Specialist/Technologist | 5022 Bent Creek Dr, Floyds Knobs, IN 47119-9200 | 2008-05-07 |
| 1104091073 | Christopher Hersey | Specialist/Technologist | 213 Sw 2nd St, Richmond, IN 47374-5316 | 2008-04-23 |
| 1215535372 | Brittany Marie Comer | Specialist/Technologist | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-12 |
| City | INDIANAPOLIS |
| Zip Code | 46237 |
Please comment or provide details below to improve the information on MS. DEBBIE FORTMAN.
| 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.