Ida Rae Pieschl
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Culver, IN
NPI 1508517491 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1508517491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1300 Academy Rd
Culver, IN 46511-1234 - Phone
- (574) 842-7000
- NPI assigned
- Jan 12, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1300 Academy Rd
Culver, IN 46511-1234
Mailing address
16732 State Road 10
Culver, IN 46511-9772
Phone (785) 845-3753
Other providers in Culver, IN
- Lake Shore Clinic
- Ramona Viola Lichtenbarger
- Heather Oosterhoff
- Ourhealth Physician Group, LLC
- Janice L Peterson
- Stephanie Poling
- Pulaski Memorial Hospital
- Rebecca Sue Ream
- Warren K Reiss
- Kurt Nathan Richeson
All providers in Culver, IN · Student in an Organized Health Care Education/Training Program in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. 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.