Eriel Bass
Individual provider Active NPI Registered Nurse · Greenfield, IN
NPI 1154033702 · NPPES record last updated Dec 14, 2022
Key facts
- NPI
- 1154033702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 28253237A (IN)
- Practice address
- 1501 N Salem CT
Greenfield, IN 46140-5544 - Phone
- (217) 459-9476
- NPI assigned
- Dec 14, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28253237A | IN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28253237A | IN | Yes |
Addresses
Primary practice location
1501 N Salem CT
Greenfield, IN 46140-5544
Mailing address
1501 N Salem CT
Greenfield, IN 46140-5544
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100914104399 | Medicaid | IN |
Other providers in Greenfield, IN
- Kenya M Ball
- Linda Lou Banayote
- Gary W Bardonner
- Mieasha Hicks Barksdale
- Keryna Paige Barrett
- Ann Marie Bastin
- Jason Bayless
- Gabriel Vandoran Beatty
- Milagro Behny
- Sheri Lynn Bell-O'Gara
All providers in Greenfield, IN · Registered Nurse in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.