Active NPI
River Oaks OB/GYN Associates
- Obstetrics & Gynecology Nurse Practitioner
- Elkhart, IN
National Provider Identifier
1215387352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 28142238A
- Legal business name
- RIVER OAKS OB/GYN ASSOCIATES
- Practice address
- 2405 W Lexington Ave
Elkhart, IN 46514-1417 - Phone
- (574) 295-8805
- Fax
- (574) 522-0039
- NPI assigned
- Jun 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vicki A Kronemeyer
- Title
- Coo
- Phone
- (574) 295-8805
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 28142238A | IN | Primary |
Addresses
Primary practice location
2405 W Lexington Ave
Elkhart, IN 46514-1417
Mailing address
2405 W Lexington Ave
Elkhart, IN 46514-1417
Phone (574) 295-8805
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics Physician
- Elkhart, IN
- NPI 1467480996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582761600000",
"number": "1215387352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 W LEXINGTON AVE",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141417",
"telephone_number": "574-295-8805",
"fax_number": "574-522-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 W LEXINGTON AVE",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141417",
"telephone_number": "574-295-8805",
"fax_number": "574-522-0039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER OAKS OB/GYN ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-20",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A",
"authorized_official_last_name": "KRONEMEYER",
"authorized_official_first_name": "VICKI",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "574-295-8805",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "IN",
"license": "28142238A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.