AMY S CAUDILL (NPI# 1871776104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871776104 |
| Entity Type | Individual |
| Full Name | AMY S CAUDILL |
| Credential | RN |
| Practice Address |
909 E State Blvd Fort Wayne IN 46805-3404 |
| Practice Telephone | 2604812700 |
| Practice Fax Number | 2604812717 |
| Mailing Telephone | 2604812700 |
| Mailing Fax Number | 2604812717 |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2009-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
28161702A | IN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750942975 | Amy Caudill | Peer Specialist | 850 Sw 4th St, Madras, OR 97741-9628 | 2019-06-27 |
| 1215428453 | Amy Caudill | Registered Nurse | 6400 E Broad St Fl 4, Columbus, OH 43213-1505 | 2018-05-23 |
| 1326026717 | Amy Caudill | Occupational Therapist | 675 Seminole Ave Ne, Suite T05, Atlanta, GA 30307-3408 | 2006-01-05 |
| Street Address |
909 E STATE BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689664419 | Richard A Horstmeyer | Family Medicine | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2005-10-24 |
| 1174132674 | Rachel Lee Taykowski | Social Worker | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-07-30 |
| 1831708510 | Alexandra Leroy | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-07-28 |
| 1881203560 | Timothy James Prentice | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-07-28 |
| 1922617620 | Elise S. Beech | Social Worker | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-07-28 |
| 1457972481 | David D Hibish | Case Manager/Care Coordinator | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-04-30 |
| 1790317667 | Jill Elizabeth Surine | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-02-10 |
| 1851923627 | Emily Redman | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-02-10 |
| 1912537325 | Estrella Devia | Case Manager/Care Coordinator | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2020-01-24 |
| 1083252548 | Amber Ginet O'daniels | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2019-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174706691 | Valerie J Rumple | Registered Nurse | 1909 Carew St, Fort Wayne, IN 46805 | 2007-12-06 |
| 1508961236 | Ellen Catherine Fagan-pryor | Registered Nurse | 2121 Lake Avene, Fort Wayne, IN 46805-5100 | 2006-09-14 |
| 1548683188 | Rachel Roberts | Registered Nurse | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2014-02-03 |
| 1255776779 | Michelle Denise Cox | Registered Nurse | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2013-05-10 |
| 1336410703 | Richard Cain | Registered Nurse | 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 | 2012-01-18 |
| 1184911158 | Teresa L Roberts | Registered Nurse | 909 E State Blvd, Fort Wayne, IN 46805 | 2011-06-29 |
| 1659603413 | Melissa G Pulver | Registered Nurse | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2010-02-04 |
| 1700018611 | Lucinda M Cress | Registered Nurse | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2009-08-12 |
| 1568691525 | Leslie F Long | Registered Nurse | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2009-07-10 |
| 1275774408 | Alice K Dyer | Registered Nurse | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2009-03-18 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on AMY S CAUDILL.
| 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.