Dedicated Family Health

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DEDICATED FAMILY HEALTH

Practice address

117 N Main St
Hebron, IN 46341-8971

Phone

(219) 509-3383

Fax

(219) 509-3389

NPI assigned

Oct 30, 2018

Last updated

Apr 16, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Colette H Walter, NP

Title

NP, Ceo

Phone

(219) 509-3383

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1144797986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N MAIN ST",
            "city": "HEBRON",
            "state": "IN",
            "postal_code": "463418971",
            "telephone_number": "219-509-3383",
            "fax_number": "219-509-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N MAIN ST",
            "city": "HEBRON",
            "state": "IN",
            "postal_code": "463418971",
            "telephone_number": "219-509-3383",
            "fax_number": "219-509-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "NP, CEO",
        "authorized_official_telephone_number": "219-509-3383",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 2",
            "identifier": "1144797986",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201180370",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie L Bartz Hudson
• Peter J Blank, D.D.S.
• Carla K Brink, D.D.S.
• Kiera Faith Brummet
• Carla K. Brink, D.D.S., P.C.
• Mark Robert Detert, DDS
• Brianna R Dettman, PHARMD
• Edward Erb
• Erma J Galvin, MSW
• Christina Lynn Gohsman

• Family Nurse Practitioner in Hebron, IN
• Providers in Hebron, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.