Provider Demographics
NPI:1255419248
Name:LIMING, RITA S (NP)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:S
Last Name:LIMING
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 E 96TH ST
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-9795
Mailing Address - Country:US
Mailing Address - Phone:317-621-1290
Mailing Address - Fax:317-621-1291
Practice Address - Street 1:8300 E 96TH ST
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-9795
Practice Address - Country:US
Practice Address - Phone:317-621-1290
Practice Address - Fax:317-621-1291
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71001104363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200466490Medicaid
INM400039401Medicare PIN
INM400039407Medicare PIN
IN151560N4Medicare PIN
INQ00397Medicare UPIN
INM400021834Medicare PIN
IN228050JJMedicare PIN
INM400039390Medicare PIN
INM400053862Medicare PIN
INM400039402Medicare PIN
INM400039405Medicare PIN
P00252936Medicare PIN
IN200466490Medicaid