LAURA MYERS HIERONYMUS (NPI# 1922290790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922290790 |
Entity Type | Individual |
Full Name | LAURA MYERS HIERONYMUS |
Credential | C.A.N.P. |
Practice Address |
1700 Mishawaka Ave Student Activity Center Rm 130 South Bend IN 46634-7111 |
Mailing Address |
1700 Mishawaka Ave Student Activity Center Rm 130, P.o. Box 7111 South Bend IN 46615-1408 |
Practice Telephone | 5742505557 |
Practice Fax Number | 5745205042 |
Mailing Telephone | 5742505557 |
Mailing Fax Number | 5745205042 |
Enumeration Date | 2007-08-15 |
Last Update Date | 2007-08-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP02577 | OH | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558893263 | Laura Lynne Hieronymus | Registered Nurse | 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504-3504 | 2017-03-31 |
Street Address |
1700 MISHAWAKA AVE STUDENT ACTIVITY CENTER RM 130 |
City | SOUTH BEND |
State | IN |
Zip Code | 46634-7111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811327943 | Hibajene Chisonga | Nurse Practitioner | 1700 Mishawaka Ave, South Bend, IN 46634-7111 | 2013-11-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952721185 | Indiana University South Bend Health & Wellness Center | Licensed Practical Nurse | 941 20th Street, South Bend, IN 46634-7111 | 2014-04-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891394052 | Mildred Lozada Johnson | Registered Nurse | 1005 Bellevue Ave, South Bend, IN 46615-1412 | 2020-10-20 |
1023615796 | Himabindu Gogeneni | Dentist | 3575 Portage Ave Ste A, South Bend, IN 46628-6092 | 2020-10-06 |
1639785520 | Hannah Betz | Behavioral Analyst | 1827 E Ireland Rd, South Bend, IN 46614-2845 | 2020-09-16 |
1255945705 | Richard B Pearson | Pharmacist | 2913 S Michigan St, South Bend, IN 46614-1033 | 2020-09-02 |
1144831009 | Jessica Brickman | Speech-Language Pathologist | 736 Portage Ave Apt 4, South Bend, IN 46616-1371 | 2020-08-13 |
1598376485 | The South Bend Clinic LLP | Durable Medical Equipment & Medical Supplies | 6301 University Commons Ste 100, South Bend, IN 46635-1571 | 2020-08-13 |
1417568940 | Robin M Palisano-wolfe | Physical Therapy Assistant | 59808 Ironwood Rd, South Bend, IN 46614-9111 | 2020-08-10 |
1053920603 | Ariel Words | Pathology | 1233 Woodfield Ave, South Bend, IN 46615-3803 | 2020-07-29 |
1912515644 | Allison Marie Hill | Pharmacy | 3 Spruce Ln, South Bend, WA 98586-9008 | 2020-07-20 |
1770191892 | Baochun Hind | Counselor | 1205 E Bronson St, South Bend, IN 46615-1141 | 2020-07-15 |
Find all providers in SOUTH BEND |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083262992 | Francesca E Udoh | Nurse Practitioner | 51875 Whitestable Ln, South Bend, IN 46637-1371 | 2019-09-04 |
1760721807 | William John Fox | Nurse Practitioner | 333 W Western Ave, South Bend, IN 46601-2215 | 2013-02-09 |
1740296516 | Freda Ann Black | Nurse Practitioner | 112 W Jefferson Blvd, South Bend, IN 46601-1923 | 2006-07-31 |
1447721105 | Daniela M Edson | Nurse Practitioner | 621 Memorial Dr Ste 502, South Bend, IN 46601-1075 | 2018-12-06 |
1265810584 | Tara Pousson | Nurse Practitioner | 112 W Jefferson Blvd, Suite 600, South Bend, IN 46601-1923 | 2015-05-07 |
1447669304 | Ludmila Pichugena-emerson | Nurse Practitioner | 211 N Eddy St., South Bend, IN 46617-3096 | 2014-08-05 |
1033520101 | Oluyinka Grace Osunnuga | Nurse Practitioner | 707 N Michigan St, Suite 400, South Bend, IN 46601-1067 | 2014-05-12 |
1972913804 | Toni Brown | Nurse Practitioner | 333 W Western Ave, South Bend, IN 46601-2215 | 2014-04-30 |
1518302264 | Beacon Medical Group, Inc. | Nurse Practitioner | 621 Memorial Dr, Suite 602, South Bend, IN 46601-1063 | 2013-05-08 |
1023364262 | Gina M. Connolly | Nurse Practitioner | 100 Navarre Pl Ste 6600, South Bend, IN 46601 | 2012-07-25 |
Find all providers in SOUTH BEND |
City | SOUTH BEND |
Zip Code | 46634 |
Please comment or provide details below to improve the information on LAURA MYERS HIERONYMUS.
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.