RIVERSIDE FAMILY CLINIC, INC (NPI# 1821469602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821469602 |
Entity Type | Organization |
Organization Name | RIVERSIDE FAMILY CLINIC, INC |
Practice Address |
328 N 2nd St, Suite 102 Vincennes IN 47591 |
Mailing Address |
Po Box 436 328 N 2nd St, Suite 102 Vincennes IN 47591 |
Practice Telephone | 8122915993 |
Practice Fax Number | 8123161117 |
Mailing Telephone | 8122915993 |
Mailing Fax Number | 8123161117 |
Enumeration Date | 2015-10-19 |
Last Update Date | 2015-11-13 |
Authorized Official Name | ANDREA L STEPHENS (OWNER/OPERATOR) |
Authorized Official Telephone | 8122915993 |
Authorized Official Credential | FNP-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
28140893A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
328 N 2ND ST, SUITE 102 |
City | VINCENNES |
State | IN |
Zip Code | 47591 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720688484 | Mary Alsakka | Pharmacist | 602 Kimmell Rd, Vincennes, IN 47591 | 2020-10-30 |
1265053854 | Hamilton Center Inc. | Clinic/Center | 1433 Willow Street, Vincennes, IN 47591 | 2020-05-05 |
1134690654 | Deaconess Hospital Inc | Durable Medical Equipment & Medical Supplies | 516 S. 9th St, Vincencces, IN 47591 | 2018-12-10 |
1730612698 | Advanced Pain Care Clinic Psc | Pain Medicine | 1813 Willow St Ste 3b, Vincennes, IN 47591 | 2017-04-07 |
1033566203 | Jennifer Hoyt | Nurse Practitioner | 1813 Willow St Ste 3a, Vincennes, IN 47591 | 2016-05-18 |
1902205594 | Kathleen Garner | Physical Therapy Assistant | 3901 Old Bruceville Road, Vincennes, IN 47591 | 2014-08-19 |
1467703645 | Molly Ann Barth | Speech-Language Pathologist | 3801 Old Bruceville Road, Vincennes, IN 47591 | 2012-09-27 |
1083965776 | Tiffany Renee Neukam | Occupational Therapist | 1900 College Ave., Vincennes, IN 47591 | 2012-09-21 |
1396057089 | Jericho Lynn Quick | Optometrist | 1813 Willow St Ste 2a, Vincennes, IN 47591 | 2010-07-09 |
1003135864 | Elaine L Burcham | Nurse Practitioner | 1910 Mcdowell Rd, Vincennes, IN 47591 | 2010-05-19 |
Find all providers in zip 47591 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417407024 | Jami L Dowell | Nurse Practitioner | 1602 N. Upper 11 Street, Vincennes, IN 47591-4820 | 2016-10-06 |
1033566203 | Jennifer Hoyt | Nurse Practitioner | 1813 Willow St Ste 3a, Vincennes, IN 47591 | 2016-05-18 |
1003135864 | Elaine L Burcham | Nurse Practitioner | 1910 Mcdowell Rd, Vincennes, IN 47591 | 2010-05-19 |
1154553196 | Ann Marie Vash | Nurse Practitioner | 1813 Willow St # 3a, Vincennes, IN 47591-4276 | 2009-08-10 |
1710067830 | Theresa A Hutchison | Nurse Practitioner | 1813 Willow St Ste 3, Vincennes, IN 47591-4279 | 2006-10-16 |
1902417686 | Melanie Josephine Pickett | Nurse Practitioner | 1600 Willow St, Vincennes, IN 47591-4200 | 2020-08-14 |
1689298622 | Kelli Jeanne Carie | Nurse Practitioner | 406 N 1st St, Vincennes, IN 47591-1340 | 2020-06-05 |
1629692942 | Jaime Michelle Parkes | Nurse Practitioner | 429 S 6th St, Vincennes, IN 47591-1022 | 2020-06-02 |
1831710581 | Leeann Roberts | Nurse Practitioner | 520 S 7th St # 159, Vincennes, IN 47591-1038 | 2020-05-05 |
1689207946 | Cassi N Fiscus | Nurse Practitioner | 520 S 7th St, Vincennes, IN 47591-1038 | 2020-02-14 |
Find all providers in VINCENNES |
Please comment or provide details below to improve the information on RIVERSIDE FAMILY CLINIC, INC.
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.