BRIANNE ELIZABETH MAHONE NPI 1841843000

NPI Information

NPI: 1841843000
Provider Name: BRIANNE ELIZABETH MAHONE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
610 N MICHIGAN ST STE 400
SOUTH BEND, IN
ZIP 46601
Phone: (574) 647-8120
Get Directions

Brianne Elizabeth Mahone is a family nurse practitioner in South Bend, IN. Brianne Elizabeth Mahone NPI is 1841843000. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

610 N MICHIGAN ST STE 400
SOUTH BEND, IN
ZIP 46601-081
Phone: (574) 647-8120
Fax: (574) 647-8111

The NPI 1841843000 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 7/17/2019 and was last updated on 3/30/2021.

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	363LF0000X	Nurse Practitioner	Family	71009237A	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	300030531	MEDICAID	INDIANA
2	257270020	OTHER	INDIANA	MEDICARE PTAN
3	236040323	OTHER	INDIANA	MEDICARE PTAN

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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