Grace At Home | |
907 N East St Indianapolis IN 46202-3425 | |
(317) 429-0120 | |
(317) 800-7730 |
Full Name | Grace At Home |
---|---|
Speciality | Family Medicine |
Location | 907 N East St, Indianapolis, Indiana |
Authorized Official Name and Position | Rodney C Armstead (CEO) |
Authorized Official Contact | 3104187250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grace At Home Po Box 503108 Indianapolis IN 46250-8108 Ph: (317) 429-0120 | Grace At Home 907 N East St Indianapolis IN 46202-3425 Ph: (317) 429-0120 |
NPI Number | 1235736067 |
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Provider Enumeration Date | 10/05/2020 |
Last Update Date | 10/31/2024 |
Medicare PECOS PAC ID | 1456769330 |
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Medicare Enrollment ID | O20210413002230 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235736067 | NPI | - | NPPES |
Provider Name | Stephaine N Bryant Lipp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356330435 PECOS PAC ID: 5890754659 Enrollment ID: I20041007000133 |
Provider Name | Karen M Whitman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972580488 PECOS PAC ID: 6204865116 Enrollment ID: I20050811000196 |
Provider Name | Beth A Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528071404 PECOS PAC ID: 0941200273 Enrollment ID: I20070110000174 |
Provider Name | Nicole Lynn O'rourke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336377670 PECOS PAC ID: 6204974835 Enrollment ID: I20091118000739 |
Provider Name | Alana Christine Hart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578817896 PECOS PAC ID: 0749432235 Enrollment ID: I20121207000335 |
Provider Name | Karen J Smedley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881039717 PECOS PAC ID: 2062648165 Enrollment ID: I20131120000471 |
Provider Name | David L Keith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780099820 PECOS PAC ID: 2769600451 Enrollment ID: I20140821000596 |
Provider Name | Olivia H Cronin |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1881820249 PECOS PAC ID: 6204057649 Enrollment ID: I20141028001206 |
Provider Name | Sheilah Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871983833 PECOS PAC ID: 6002135928 Enrollment ID: I20160122001057 |
Provider Name | Denise C King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245775766 PECOS PAC ID: 9133403389 Enrollment ID: I20170307001294 |
Provider Name | Donna Marie Blake |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821429481 PECOS PAC ID: 3375761976 Enrollment ID: I20170705000861 |
Provider Name | Zachary Eppert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780243972 PECOS PAC ID: 1759615073 Enrollment ID: I20190620000549 |
Provider Name | Kyndra Mercer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972152015 PECOS PAC ID: 7719310259 Enrollment ID: I20191213001512 |
Provider Name | Janet Satterthwaite |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831729383 PECOS PAC ID: 5395171318 Enrollment ID: I20200210002559 |
Provider Name | Lynn Collins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659731602 PECOS PAC ID: 4385943976 Enrollment ID: I20200414001225 |
Provider Name | Heather Allred |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225645773 PECOS PAC ID: 9638599590 Enrollment ID: I20201014001275 |
Provider Name | Hannah Coomer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497358444 PECOS PAC ID: 0446661904 Enrollment ID: I20201204001903 |
Provider Name | Leslie Taneal Marks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578024741 PECOS PAC ID: 6709298243 Enrollment ID: I20201207003151 |
Provider Name | Tatum Svarczkopf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295326858 PECOS PAC ID: 8729492913 Enrollment ID: I20210129000923 |
Provider Name | Sarabjot Kaur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700282761 PECOS PAC ID: 9931485208 Enrollment ID: I20210506001528 |
Provider Name | Anna Payton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881264646 PECOS PAC ID: 5294137139 Enrollment ID: I20210714002200 |
Provider Name | Jessica Louise Gilliam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356932446 PECOS PAC ID: 5991109654 Enrollment ID: I20210803003262 |
Provider Name | Joel Henry Chodakowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740913870 PECOS PAC ID: 6406239755 Enrollment ID: I20220818002241 |
Provider Name | Caroline T Griffith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811623093 PECOS PAC ID: 3072997717 Enrollment ID: I20220830003479 |
Provider Name | Aundrianna Whiteside |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851923163 PECOS PAC ID: 5597140137 Enrollment ID: I20220916002391 |
Provider Name | Amy Denise Wimbleduff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508587445 PECOS PAC ID: 7911383401 Enrollment ID: I20221006002632 |
Provider Name | Hillary Deitchman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992366397 PECOS PAC ID: 4688040355 Enrollment ID: I20221020002150 |
Provider Name | Rhonda Fay Frais |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811607740 PECOS PAC ID: 8022480979 Enrollment ID: I20230202001865 |
Provider Name | Esther Wanjeri Mbiu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639880404 PECOS PAC ID: 4385016013 Enrollment ID: I20230207000723 |
Provider Name | Molly Malina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881309334 PECOS PAC ID: 2860858008 Enrollment ID: I20230515001005 |
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