Emeline Victoria Chrissikos, SM

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Topeka, IN

NPI 1083391528 · NPPES record last updated Jun 28, 2023

Key facts

NPI
1083391528
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
7980 W 100 S
Topeka, IN 46571-9750
Phone
(260) 704-7166
Fax
(260) 366-6742
NPI assigned
Jun 28, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Earthen Vessels Nurse Midwifery LLC Past
since Jul 2, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program
Group: 193200000X MULTI-SPECIALTY GROUP
390200000X Yes

Addresses

Primary practice location

7980 W 100 S
Topeka, IN 46571-9750

Mailing address

1755 County Road 36
Auburn, IN 46706-9404
Phone (260) 908-7336

Other providers in Topeka, IN

All providers in Topeka, IN · Student in an Organized Health Care Education/Training Program in Indiana

Sources for this page

Verify at the official NPI Registry.