Active NPI
Janet Ellen Creekmore, RN FNP
- Women's Health Nurse Practitioner
- Elkhart, IN
National Provider Identifier
1891866174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 28083616A
- Practice address
- 505 S 3Rd St
Elkhart, IN 46516 - Phone
- (574) 294-7561
- Fax
- (574) 293-5479
- NPI assigned
- Nov 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 28083616A | IN | Primary |
Addresses
Primary practice location
505 S 3Rd St
Elkhart, IN 46516
Mailing address
PO Box 254
201 S First St
Pierceton, IN 46562
Phone (574) 594-5386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28083616A | IN | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891866174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 254",
"address_2": "201 S FIRST ST",
"city": "PIERCETON",
"state": "IN",
"postal_code": "46562",
"telephone_number": "574-594-5386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S 3RD ST",
"city": "ELKHART",
"state": "IN",
"postal_code": "46516",
"telephone_number": "574-294-7561",
"fax_number": "574-293-5479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREEKMORE",
"first_name": "JANET",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "RN FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IN",
"license": "28083616A",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.