RICHARD LAMAR CAIN NP NPI 1336410703

NPI Information

NPI: 1336410703
Provider Name: RICHARD LAMAR CAIN, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
3512 STELLHORN RD
FORT WAYNE, IN
ZIP 46815
Phone: (260) 483-9081
Get Directions

Richard Lamar Cain, NP is a psychiatric/mental health nurse practitioner in Fort Wayne, IN with 11 years of experience. Richard Lamar Cain, NP NPI is 1336410703. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3512 STELLHORN RD
FORT WAYNE, IN
ZIP 46815-631
Phone: (260) 483-9081
Fax: (260) 483-9196

The NPI 1336410703 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/18/2012 and was last updated on 10/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	28173909A	INDIANA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	71004523B	INDIANA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	71004523A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	224350035	OTHER	INDIANA	MEDICARE
2	201187370	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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