=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346193117
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EMILY PATTERSON-BALLINGER RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/19/2026
-----------------------------------------------------
Last Update Date | 02/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12800 MISSISSIPPI PKWY STE B200
-----------------------------------------------------
City | CROWN POINT
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46307-6902
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 219-757-5890
-----------------------------------------------------
Fax | 219-757-5740
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 113 YORK ST
-----------------------------------------------------
City | MICHIGAN CITY
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46360-3653
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 219-707-1509
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WM0102X
-----------------------------------------------------
Taxonomy Name | Maternal Newborn Registered Nurse
-----------------------------------------------------
License Number | 28215893A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------