BETH A. PRUSINSKI (NPI# 1851546089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851546089 |
| Entity Type | Individual |
| Full Name | BETH A. PRUSINSKI |
| Credential | NP-C |
| Practice Address |
8333 Naab Rd Ste 400 Indianapolis IN 46260-1992 |
| Mailing Address |
8840 Commerce Park Pl Ste E Indianapolis IN 46268-3129 |
| Practice Telephone | 3173386666 |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2014-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28082210A | IN | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71002871A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200929680 | 05 |
| Street Address |
8333 NAAB RD STE 400 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-1992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821098328 | Xu-jing Liu | Internal Medicine | 8333 Naab Rd Ste 400, Indianapolis, IN 46260-1992 | 2005-07-26 |
| 1033649165 | Whitney Leigh King | Nurse Practitioner | 8333 Naab Rd Ste 400, Indianapolis, IN 46260-1992 | 2017-06-12 |
| 1528453636 | Kevin Ball | Internal Medicine | 8333 Naab Rd Ste 400, Indianapolis, IN 46260-1992 | 2015-04-06 |
| 1013310879 | Lisa Kathleen Sims | Nurse Practitioner | 8333 Naab Rd Ste 400, Indianapolis, IN 46260-1992 | 2014-10-07 |
| 1265849707 | Heather N Horton | Nurse Practitioner | 8333 Naab Rd Ste 400, Indianapolis, IN 46260-1992 | 2014-07-16 |
| 1598007478 | Aaron J Kelkhoff | Internal Medicine | 8333 Naab Rd Ste 400, Indianapolis, IN 46260-1992 | 2013-03-19 |
| 1104192343 | Jordan Schiller Thomas | Student in an Organized Health Care Education/Training Program | 8333 Naab Rd Ste 400, Indianapolis, IN 46260-1992 | 2012-03-30 |
| 1528353448 | Sangita Sudharshan | Internal Medicine | 8333 Naab Rd Ste 400, Indianapolis, IN 46260-1992 | 2011-06-20 |
| 1659691913 | Kyle Mark Harry | Internal Medicine | 8333 Naab Rd Ste 400, Indianapolis, IN 46260-1992 | 2010-06-09 |
| 1710205984 | Amit Chatur Patel | Internal Medicine | 8333 Naab Rd Ste 400, Indianapolis, IN 46260-1992 | 2010-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851852727 | Carmen Lagaye Bogle | Nurse Practitioner | 1050 W 72nd St, Indianapolis, IN 46260-4037 | 2019-03-25 |
| 1861991176 | Kimberly S Houchens | Nurse Practitioner | 135 N Pennsylvania St Ste 1610, Indianapolis, IN 46204-2448 | 2018-02-02 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1194259879 | Bahtrena Rogers | Nurse Practitioner | 9302 Budd Run Dr, Indianapolis, IN 46250-1322 | 2017-04-19 |
| 1538512090 | Martita Rolanda Meeks | Nurse Practitioner | 7240 Shadeland Sta Ste 300, Indianapolis, IN 46256-3944 | 2016-07-20 |
| 1194177022 | Stephanie R Young | Nurse Practitioner | 8360 S Emerson Ave Ste 100, Indianapolis, IN 46237-8746 | 2016-07-03 |
| 1114394426 | Tamara Sue Roberts | Nurse Practitioner | 7911 N Michigan Road, Indianapolis, IN 46268-1360 | 2015-08-24 |
| 1023426780 | Lesli White | Nurse Practitioner | 1 Allison Way, Indianapolis, IN 46222-3271 | 2014-07-25 |
| 1386070274 | Kimberly Demasie | Nurse Practitioner | 7520 E 88th Pl, Suite 101, Indianapolis, IN 46256-1253 | 2013-09-24 |
| 1669788204 | Shannon L Childers-page | Nurse Practitioner | 1701 N Senate Blvd # A5231, Indianapolis, IN 46202-1239 | 2010-08-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on BETH A. PRUSINSKI.
| 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.