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Northeast Internal Medicine

Primary Care Nurse Practitioner in Lagrange, IN · enumerated 2014 · authorized official Tara Gilmore, Business Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366859779

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Registry record

Entity type Organization (Type 2)
Legal business name Northeast Internal Medicine
Practice address 2500 N Detroit St, Lagrange, IN, 46761
Phone (260) 463-2133
Enumeration date Jul 17, 2014
Last updated in NPPES Feb 27, 2019

Taxonomy & classification

363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 71004993A (IN) Primary

Authorized official

Name Tara Gilmore
Title Business Office Manager
Phone (260) 463-2133

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-02-27. Verify at npiregistry.cms.hhs.gov.
Where is Northeast Internal Medicine located?
The practice location on file with NPPES is in Lagrange, IN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-02-27.