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CONNIE S CARUNCHIA PROFESSIONAL CORPORATION
NPI 1487948816
Nurse Practitioner - Gerontology in Kendallville, IN

Active since June 02, 2011
5900 E 500 N, KENDALLVILLE, IN 46755(260) 349-8185(888) 347-0088 Get Directions Write a Review

NPPES record last updated: August 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Connie S Carunchia Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNIE S CARUNCHIA PROFESSIONAL CORPORATION (NPI 1487948816), doing business as Connie S. Herron, Pc, is a healthcare organization registered as a gerontology in Kendallville, Indiana and active in the NPI registry since June 2011. The organization lists Connie S. Cole, President/owner, as its authorized official.

NPPES Registry Identity

NPI1487948816
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameCONNIE S CARUNCHIA PROFESSIONAL CORPORATION
Location Address5900 E 500 NKendallville, IN 46755-9349
Mailing Address5900 E 500 NKendallville, IN 46755-9349 · (260) 349-8185 · Fax (888) 347-0088
Phone(260) 349-8185
Fax(888) 347-0088
Organization SubpartNo
Authorized OfficialConnie S. ColePresident/owner · (260) 349-8185
Enumeration DateJune 2, 2011
Last NPPES UpdateAugust 4, 2014
✔ NPI 1487948816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IN · 55000068A
5900 E 500 N, Kendallville, IN 46755
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Other Names 1

Former Legal Business NameConnie S. Herron, Pc

Other Identifiers 3

OtherDS6979Rr Medicare
Medicare PINM100049516IN
Medicaid201023750AIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONNIE S. COLE NP-C
Nurse Practitioner (Gerontology)
5900 E 500 N
KENDALLVILLE, IN 46755
Noble County (260) 349-8185

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie S Carunchia Professional Corporation's NPI number?

The NPI number for Connie S Carunchia Professional Corporation is 1487948816. It was assigned to this organization in the NPPES registry on June 2, 2011. The provider was formerly known as Connie S. Herron, PC.

Where is Connie S Carunchia Professional Corporation located?

Connie S Carunchia Professional Corporation is located at 5900 E 500 N, Kendallville, IN 46755. The listed phone number is (260) 349-8185.

What is Connie S Carunchia Professional Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Connie S Carunchia Professional Corporation was last updated on August 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.