KELLI NICOLE BRIEN (NPI# 1073172367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073172367 |
| Entity Type | Individual |
| Full Name | KELLI NICOLE BRIEN |
| Credential | CD(DONA) LCCE, CLS |
| Practice Address |
115 E Woodside St South Bend IN 46614-1113 |
| Mailing Address |
Po Box 2648 South Bend IN 46680-2648 |
| Mailing Telephone | 5743831743 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QB0400X |
Clinic/Center Specialization: Birthing |
Ambulatory Health Care Facilities | ||
| N | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
Ambulatory Health Care Facilities | ||
| N | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities | ||
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers | ||
| N | 174H00000X | Health Educator | Other Service Providers | ||
| Y | 374J00000X | Doula | IN | Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 115 E Woodside St, South Bend, IN 466141113 |
| Street Address |
115 E WOODSIDE ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46614-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1033759394 | Diane Galvas | Pharmacist | 1217 E. Ireland Rd., South Bend, IN 46614 | 2020-01-14 |
| 1730668690 | Julenne Henriquez-gil | Physical Therapist | 202 W Ireland Rd Ste 101a, South Bend, IN 46614 | 2018-08-11 |
| 1467747014 | Deidre A Coffey | Nurse Practitioner | 1025 Widener Ln, South Bend, IN 46614 | 2011-06-12 |
| 1588727655 | Wal-mart Stores East, Lp | Technician/Technologist | 700 W. Ireland Rd., South Bend, IN 46614 | 2006-12-19 |
| 1437262847 | Lori F Risser | Dentist | 734 E Ireland Rd, South Bend, IN 46614 | 2006-08-17 |
| 1912388018 | Laura Ellen Albright | Family Medicine | 2102 E Inwood Rd, South Bend, IN 46614 | 2015-06-15 |
| 1245626225 | Kathleen Kelley | Dermatology | 1815 E Ireland Rd, South Bend, IN 46614 | 2015-04-07 |
| 1073869806 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1950 Ridgedale Rd, South Bend, IN 46614 | 2012-07-30 |
| 1326300666 | Kristine Marie Jones | Optometrist | 700 W Ireland Rd, South Bend, IN 46614 | 2012-06-12 |
| Find all providers in zip 46614 | ||||
| Taxonomy Code | 374J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Doula |
| Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419249 | Mahogany Maternity | Doula | 22500 Lincoln Way West, South Bend, IN 46628 | 2020-02-12 |
| 1245553536 | Amber Marie O'brien | Doula | 722 S Gladstone Ave, South Bend, IN 46619-2707 | 2010-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010254 | Leah C Van Keppel | Doula | 201 W 150 N, Valparaiso, IN 46385-6020 | 2020-10-11 |
| 1932723558 | Kristina Waltman | Doula | 2226 E Markle Rd, Huntington, IN 46750-9374 | 2020-05-29 |
| 1194365650 | Sabine Hankiewicz | Doula | 1804 Campbell St, Valparaiso, IN 46385-2905 | 2020-01-13 |
| 1417592809 | Raeshanda Payne-dukes | Doula | 8079 Tuckaway Ct, Crown Point, IN 46307-9390 | 2019-11-09 |
| 1558925222 | Christy Willis | Doula | 522 Center St, Hobart, IN 46342-4649 | 2019-04-27 |
| 1992368633 | Kayle Hughes | Doula | 767 Fern St, Greenfield, IN 46140-7528 | 2019-04-18 |
| 1225590409 | For The Culture Ministries Co | Doula | 3230 N Bolton Ave, Indianapolis, IN 46218-2548 | 2019-04-04 |
| 1598223836 | Travae Shavonne Warren | Doula | 1826 Blue Pine Ln, Indianapolis, IN 46231-4298 | 2019-03-05 |
| 1013486976 | Michelle Diane Dunn | Doula | 2181 County Road 27, Waterloo, IN 46793-9413 | 2018-11-20 |
| 1487162772 | Carli Mellentine | Doula | 9239 N Bayland Dr, Mccordsville, IN 46055-9245 | 2018-01-20 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46614 |
Please comment or provide details below to improve the information on KELLI NICOLE BRIEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.