Carol Ann Banks, R.N.

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

28120528A Issued in IN

Practice address

420 W Fourth Street
Suite 100-a
Mishawaka, IN 46544-1948

Phone

(574) 252-0309

Fax

(574) 472-3694

NPI assigned

Jul 20, 2007

Last updated

May 21, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1295935880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6489",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466606489",
            "telephone_number": "574-472-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W FOURTH STREET",
            "address_2": "SUITE 100-A",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441948",
            "telephone_number": "574-252-0309",
            "fax_number": "574-472-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "IN",
            "license": "28120528A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Bahu, FNP-BC
• Sara Bajuyo, M.D.
• Diana Bakia, MA
• Eusebia Balderas
• Robert Balliet, MSW
• Latisha Banks, LCSW
• Olivia Larren Banks
• Jialin Bao, M.D.
• Jody M Barber, MD
• Lachelle L Barnett, LCSW

• Case Management Registered Nurse in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Case Management Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.