AUDRA ANDERSON (NPI# 1831616143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831616143 |
| Entity Type | Individual |
| Full Name | AUDRA ANDERSON |
| Credential | MS |
| Practice Address |
255 N Miami St Wabash IN 46992-2705 |
| Mailing Address |
2621 E Jefferson St Warsaw IN 46580-3880 |
| Practice Telephone | 2605638446 |
| Practice Fax Number | 2605631902 |
| Mailing Telephone | 15742677169 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730176066 | Audra Sue Anderson | Pharmacist | 7045 Forest Hill Ave, Richmond, VA 23225-1607 | 2005-10-03 |
| 1821413105 | Audra Anderson | Pharmacist | 4585 Research Forest Dr, The Woodlands, TX 77381-4231 | 2014-02-24 |
| Street Address |
255 N MIAMI ST |
| City | WABASH |
| State | IN |
| Zip Code | 46992-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182973 | Christi C Ballard | Counselor | 255 N Miami St, Wabash, IN 46992-2705 | 2005-05-23 |
| 1649810730 | Wayne Crowder | Counselor | 255 N Miami St, Wabash, IN 46992-2705 | 2020-01-07 |
| 1174167498 | Chandra Mullins | Counselor | 255 N Miami St, Wabash, IN 46992-2705 | 2019-10-30 |
| 1952867038 | Adam R. Rebber | Counselor | 255 N Miami St, Wabash, IN 46992-2705 | 2019-02-14 |
| 1932664604 | Alisha Byers | Counselor | 255 N Miami St, Wabash, IN 46992-2705 | 2019-02-06 |
| 1548769490 | Cinnamon Lee Carlson | Nurse Practitioner | 255 N Miami St, Wabash, IN 46992-2705 | 2018-02-06 |
| 1275063901 | Elizabeth L. Finicle | Counselor | 255 N Miami St, Wabash, IN 46992-2705 | 2017-06-15 |
| 1053844126 | Tamara R. Houser | Counselor | 255 N Miami St, Wabash, IN 46992-2705 | 2017-04-06 |
| 1417315433 | Karalynn Michal Brown | Social Worker | 255 N Miami St, Wabash, IN 46992-2705 | 2016-02-04 |
| 1720457534 | Joshua Nicholson | Counselor | 255 N Miami St, Wabash, IN 46992-2705 | 2015-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289169 | Vdp Wabash LLC | Dentist | 278 Manchester Ave., 278 Manchester Ave., Wabash, IN 46992 | 2020-06-10 |
| 1639793870 | Bryan Schmidt | Dentist | 1639 North Cass St, Wabash, IN 46992 | 2020-06-03 |
| 1295279321 | Neil Bever | Chiropractor | 60 West Hill Street, Wabash, IN 46992 | 2016-12-08 |
| 1215393566 | Joshua Ruiz | Counselor | 225 N. Miami Street, Wabash, IN 46992 | 2015-12-31 |
| 1144564626 | Witham Memorial Hospital | Skilled Nursing Facility | 20 John Kissinger Dr, Wabash, IN 46992 | 2012-11-21 |
| 1699041277 | Matthew Richard Riggle | Counselor | 5233 South 50 East, White's Residential and Family Services, Wabash, IN 46992 | 2012-03-28 |
| 1447543541 | Nathan Steven Holley | Chiropractor | 508 North Wabash Street, Wabash, IN 46992 | 2011-05-23 |
| 1700958360 | Robert Mattern Dds | Dentist | 999 Manchester Ave, Wabash, IN 46992 | 2006-11-15 |
| 1154416709 | Tim J Mcvicker | Counselor | 255 N. Miami St., Wabash, IN 46992 | 2006-10-03 |
| 1841395571 | David Lee Frischman | Chiropractor | 508 N Wabash St, Wabash, IN 46992 | 2006-09-14 |
| Find all providers in zip 46992 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215393566 | Joshua Ruiz | Counselor | 225 N. Miami Street, Wabash, IN 46992 | 2015-12-31 |
| 1659637387 | Reins and Rainbows | Counselor | 1132 E 250 S, Wabash, IN 46992-9082 | 2012-04-06 |
| 1699041277 | Matthew Richard Riggle | Counselor | 5233 South 50 East, White's Residential and Family Services, Wabash, IN 46992 | 2012-03-28 |
| 1326256710 | Jennie Conrad | Counselor | 3563 S State Road 13, Wabash, IN 46992-9162 | 2007-05-18 |
| 1003812900 | Gregory Allen Hobson | Counselor | 5233 S 50 E, Wabash, IN 46992-8011 | 2005-06-24 |
| 1730182973 | Christi C Ballard | Counselor | 255 N Miami St, Wabash, IN 46992-2705 | 2005-05-23 |
| 1114526795 | Marissa Pollard | Counselor | 5233 S 50 E, Wabash, IN 46992-8011 | 2020-10-23 |
| 1649810730 | Wayne Crowder | Counselor | 255 N Miami St, Wabash, IN 46992-2705 | 2020-01-07 |
| 1215577325 | Adrijana Blazevic | Counselor | 5233 S 50 E, Wabash, IN 46992-8011 | 2020-01-07 |
| 1952867038 | Adam R. Rebber | Counselor | 255 N Miami St, Wabash, IN 46992-2705 | 2019-02-14 |
| Find all providers in WABASH | ||||
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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.