OLIVE TREE PLACE INC. (NPI# 1972861367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972861367 |
| Entity Type | Organization |
| Organization Name | OLIVE TREE PLACE INC. |
| Practice Address |
2218 Main St Suite E Lafayette IN 47904-3614 |
| Mailing Address |
1411 W 500 S Lafayette IN 47909-8146 |
| Practice Telephone | 7654461010 |
| Mailing Telephone | 7654048317 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |
| Authorized Official Name | MRS. LAURA BETH HAWKINS (PSYCHIATRIC CLINICAL NURSE SPECIALI) |
| Authorized Official Telephone | 7654048317 |
| Authorized Official Credential | PMH-CNS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
28093092A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | OLIVE TREE PLACE INC. | 1411 W. 500 S., Lafayette, IN 47909 |
| Street Address |
2218 MAIN ST SUITE E |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-3614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053780718 | Elizabeth Mcquinn | Clinical Nurse Specialist | 833 Park East Blvd, Lafayette, IN 47905-0785 | 2015-09-23 |
| 1396081063 | Faye E. Rupert | Clinical Nurse Specialist | 1501 Hartford St, Lafayette, IN 47904-2134 | 2012-12-27 |
| 1255542239 | Megan O'connell | Clinical Nurse Specialist | 610 Main St, Lafayette, IN 47901-1451 | 2007-05-24 |
| 1073656138 | Judy Blanchard Loudon | Clinical Nurse Specialist | 610 Main St, Lafayette, IN 47901-1451 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053650887 | Gerald Lewis Inc. | Clinical Nurse Specialist | 1150 Eastport Centre Dr, Suite D, Valparaiso, IN 46383-8427 | 2013-02-14 |
| 1437497864 | Abidemi Mary Ajuwon | Clinical Nurse Specialist | 3420 Cinnabar St, West Lafayette, IN 47906-7208 | 2013-01-18 |
| 1952603664 | Tara Elizabeth Gavardinas | Clinical Nurse Specialist | The Indiana Clinic, 340 W. 10th Street, Fs 5100, Indianapolis, IN 46202 | 2010-12-01 |
| 1407014327 | Regina Dawn Haight | Clinical Nurse Specialist | 1701 N Capitol Ave, C-3, Indianapolis, IN 46202-1203 | 2008-05-28 |
| 1073780102 | Deborah Lynn May | Clinical Nurse Specialist | 10748 Weston Dr, Carmel, IN 46032-9319 | 2008-05-08 |
| 1245403419 | Carol Agnes Essenmacher | Clinical Nurse Specialist | 8075 N Shadeland Ave Ste 350, Indianapolis, IN 46250-2693 | 2008-04-09 |
| 1508041716 | Elisabeth K Degenhardt | Clinical Nurse Specialist | 5230 E Stop 11 Rd Ste 300, Indianapolis, IN 46237-6401 | 2008-01-07 |
| 1306999131 | Kathleen R Lynch Lewis | Clinical Nurse Specialist | 281 Bielby Rd, Lawrenceburg, IN 47025-1055 | 2007-01-18 |
| 1831207000 | Frances Lucille Miller | Clinical Nurse Specialist | 145 Green Meadows Drive, Greenfield, IN 46140-4001 | 2006-08-28 |
| 1558308841 | Jennifer G Sims | Clinical Nurse Specialist | 1481 W 10th St # C-5085, Richard L Roudebush Va Medical Center, Indianapolis, IN 46202-2803 | 2006-06-02 |
| Find all providers with the same taxonomy | ||||
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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.