KELSEA KAY LEROSE (NPI# 1124629936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124629936 |
| Entity Type | Individual |
| Full Name | KELSEA KAY LEROSE |
| Practice Address |
11123 Parkview Plaza Dr Fort Wayne IN 46845-1707 |
| Mailing Address |
11109 Parkview Plaza Dr Fort Wayne IN 46845-1701 |
| Practice Telephone | 2604256650 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 28222424A | IN | Nursing Service Providers |
| Street Address |
11123 PARKVIEW PLAZA DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285633990 | Michele L Helfgott | Obstetrics & Gynecology | 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845-1707 | 2005-07-15 |
| 1134530967 | Lisa M. Fedderke | Advanced Practice Midwife | 11123 Parkview Plaza Dr, Fort Wayne, IN 46845-1707 | 2014-05-14 |
| 1114341559 | Wieland & Associates, Inc. | Psychologist | 11123 Parkview Plaza Dr, Suite 200, Fort Wayne, IN 46845 | 2014-02-05 |
| 1316384944 | Nancy Sue Hinton | Nurse Practitioner | 11123 Parkview Plaza Dr, Suite 206, Fort Wayne, IN 46845-1707 | 2013-05-22 |
| 1013268739 | Cara E Walker | Nurse Practitioner | 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845-1707 | 2012-09-20 |
| 1104064286 | Starr Newman | Physician Assistant | 11123 Parkview Plaza Dr, # 102, Fort Wayne, IN 46845-1707 | 2009-01-28 |
| 1689833279 | Julie Anne Tillman | Obstetrics & Gynecology | 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845-1707 | 2008-06-09 |
| 1629267323 | Northeast Indiana Pediatric Specialists, PC | Pediatrics | 11123 Parkview Plaza Dr, Ste # 102, Fort Wayne, IN 46845-1707 | 2007-10-18 |
| 1427279223 | L. Mohrman Counseling Inc | Point of Service | 11123 Parkview Plaza Dr, Suite 200, Fort Wayne, IN 46845-1707 | 2007-05-01 |
| 1992925739 | Leslye Elliott Mohrman | Counselor | 11123 Parkview Plaza Dr, Suite 200, Fort Wayne, IN 46845-1707 | 2007-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053930636 | Charice N Carver | Registered Nurse | 1930 Mathias St, Fort Wayne, IN 46815-7119 | 2020-04-13 |
| 1831653070 | Katherine Jane Frey | Registered Nurse | 10228 Dupont Circle Dr E Ste 100, Fort Wayne, IN 46825-1611 | 2019-01-22 |
| 1861989170 | Stephany Roach | Registered Nurse | 4012 Lahmeyer Rd, Fort Wayne, IN 46815-5622 | 2018-04-23 |
| 1265948343 | Kayla Doran | Registered Nurse | 11104 Parkview Circle Dr Ste 10, Fort Wayne, IN 46845-1733 | 2017-12-27 |
| 1831561372 | Molly Patricia Daugherty | Registered Nurse | 832 Rollingwood Ln, Fort Wayne, IN 46845-1053 | 2015-10-23 |
| 1558769687 | Desiree Heim | Registered Nurse | 2512 E Dupont Rd Ste 200, Fort Wayne, IN 46825-1609 | 2014-12-05 |
| 1194163998 | Samuel Maina Gichuhi | Registered Nurse | 1049 Tennessee Ave, Fort Wayne, IN 46805-4267 | 2013-06-13 |
| 1558705442 | Elissa Kipfer | Registered Nurse | 10524 Longwood Dr, Fort Wayne, IN 46845-1635 | 2013-04-22 |
| 1255698270 | Amber Jean Mccoy | Registered Nurse | 6114 Gate Tree Lane, Fort Wayne, IN 46835-2746 | 2012-04-16 |
| 1558511550 | Sybrenia Lynn Burton | Registered Nurse | 1816 Montgomery Ct, Fort Wayne, IN 46815-7485 | 2008-09-25 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
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| 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.