THERESE A BRAASCH (NPI# 1871744508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871744508 |
| Entity Type | Individual |
| Full Name | THERESE A BRAASCH |
| Credential | ACUPUNCTURIST |
| Practice Address |
601 E Dupont Rd Fort Wayne IN 46825-2055 |
| Mailing Address |
6821 Woodcrest Dr. Fort Wayne IN 46815 |
| Practice Telephone | 2604137160 |
| Mailing Telephone | 2604851879 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | 84000105A | IN | Other Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
26017081A | IN | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6821 Woodcrest Dr, Fort Wayne, IN 468155570 | 2604851879 |
| Street Address |
601 E DUPONT RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-2055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669545976 | Kroger Limited Partnership I | Pharmacy | 601 E Dupont Rd, Fort Wayne, IN 46825-2055 | 2006-11-16 |
| 1467099986 | Todd Leroy Rex | Pharmacist | 601 E Dupont Rd, Fort Wayne, IN 46825-2055 | 2019-12-03 |
| 1891332680 | Laura Geiger Turner | Pharmacist | 601 E Dupont Rd, Fort Wayne, IN 46825-2055 | 2019-11-29 |
| 1548806854 | Andrea Panyard | Pharmacist | 601 E Dupont Rd, Fort Wayne, IN 46825-2055 | 2019-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962751446 | Robert L Plant | Pharmacist | 3602 New Vision Drive, Fort Wayne, IN 46845 | 2012-08-30 |
| 1649883687 | Rachel Capito | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2020-08-28 |
| 1306465570 | Mariah Vasquez | Pharmacist | 110 E Creighton Ave, Fort Wayne, IN 46803-3344 | 2020-04-08 |
| 1851934277 | Stephanie Marie Carcione | Pharmacist | 10307 Dupont Circle Dr W Ste A, Fort Wayne, IN 46825-1633 | 2019-10-18 |
| 1407404056 | Aubrey Ann Mills | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2019-08-27 |
| 1366937047 | Kristin Howard | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2018-06-26 |
| 1780179549 | Bryan M Statz | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2018-06-25 |
| 1770073900 | James Joseph Roy | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2018-05-14 |
| 1720578289 | Ross Witte | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2018-05-10 |
| 1629579636 | Tracy Leigh Brooks | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2018-02-25 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
Please comment or provide details below to improve the information on THERESE A BRAASCH.
| 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.