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Laura J. Shade

Nurse Practitioner - Neonatal

705 Riley Hospital Dr Rr 208
Indianapolis , Indiana 46202-5109

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Laura J. Shade

Nurse Practitioner - Neonatal

705 Riley Hospital Dr Rr 208
Indianapolis , Indiana 46202-5109

(317) 278-9905

Write a Review Save Call

Laura J. Shade

Nurse Practitioner - Neonatal

705 Riley Hospital Dr Rr 208
Indianapolis , Indiana 46202-5109

(317) 278-9905 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Neonatal

Languages spoken

  • English

Location

705 Riley Hospital Dr Rr 208 Indianapolis , Indiana 46202-5109

First Address

  • Laura J. Shade
  • Po Box 1026
  • Indianapolis, IN
  • Zip : 46206-1026
  • Fax : (317) 278-9905
  • Phone : (317) 274-1201

Second Address

  • Laura J. Shade
  • 705 Riley Hospital Dr Rr 208
  • Indianapolis, IN
  • Zip : 46202-5109
  • Fax : (317) 274-2065
  • Phone : (317) 274-4715

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FAQs


Where did Laura J. Shade attend graduate school?

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Where did Laura J. Shade do her residency?

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Where did Laura J. Shade do her fellowship?

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Is Laura J. Shade board certified?

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What type of doctor is Laura J. Shade

Nurse Practitioner - Neonatal

In what state does Laura J. Shade practice in?

Indiana

Where is Laura J. Shade ’s practice located?

705 Riley Hospital Dr Rr 208 , Indianapolis, Indiana, 46202-5109

What is Laura J. Shade ’s gender?

Female

Is Laura J. Shade a sole practitioner?

No

Is Laura J. Shade accepting new patients?

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What languages does Laura J. Shade speak?

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Does Laura J. Shade accept insurance?

Yes, Laura J. Shade accepts insurance

Does Laura J. Shade offers telemedicine?

Laura J. Shade has not indicated if she offers telemedicine

What is Laura J. Shade ’s professional license number?

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What is Laura J. Shade ’s NPI number?

1083915201

Does Laura J. Shade have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 363LN0000X Nurse Practitioner - Neonatal 28193093 IN
Y 363LN0000X Nurse Practitioner - Neonatal 71004167 IN

National Provider Identifier

NPI 1083915201
Provider Name Laura J. Shade
First Address Indianapolis, IN 46206-1026
Second Address Indianapolis, IN 46202-5109
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 04/11/2010
Last Update Date 17/04/2013

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
201005360 (05) IN

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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