KYLEE SLADE


Address: 415 N 26th St, Lafayette, IN 47904-2895
Phone: 7654043055

KYLEE SLADE (NPI# 1144830449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144830449
Entity Type Individual
Full Name KYLEE SLADE
Practice Address 415 N 26th St
Lafayette
IN 47904-2895
Mailing Address 10830 E 500 N
Lafayette
IN 47905-9668
Practice Telephone 7654043055
Mailing Telephone 7654043055
Enumeration Date 2020-08-03
Last Update Date 2020-08-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
28220955A IN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1701 S Creasy Ln, Lafayette, IN 479054972 7654043055

Office Location

Street Address 415 N 26TH ST
City LAFAYETTE
State IN
Zip Code 47904-2895

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871591156 Susan Kersey Clinical Nurse Specialist 415 N 26th St, Suite 201, Lafayette, IN 47904-2856 2005-07-12
1063057693 Justin Schmitt Case Manager/Care Coordinator 415 N 26th St, Lafayette, IN 47904-2895 2019-11-07
1114561792 Amy Lind Case Manager/Care Coordinator 415 N 26th St, Lafayette, IN 47904-2895 2019-11-06
1548739527 Kyla Ann Maxey Case Manager/Care Coordinator 415 N 26th St, Lafayette, IN 47904-2895 2018-11-19
1366927618 Hollyann Marie Morales Psychologist 415 N 26th St, Lafayette, IN 47904-2895 2018-10-02
1326529306 Katherine A Bolsen Psychologist 415 N 26th St, Lafayette, IN 47904-2895 2018-08-27
1164916987 Amy Atkinson Case Manager/Care Coordinator 415 N 26th St, Lafayette, IN 47904-2895 2018-06-15
1275993909 Valley Oaks Health Inc Psychologist 415 N 26th St, Lafayette, IN 47904-2895 2016-02-23
1568852986 Derek Booth Nurse Practitioner 415 N 26th St, Suite 201, Lafayette, IN 47904-2895 2015-01-24
1235412156 Kayla Ann Miller Nurse Practitioner 415 N 26th St, Lafayette, IN 47904 2011-09-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568998615 Angela Hands Physical Therapy Assistant 1260 North 17th Street, Lafayette, IN 47904 2017-05-11
1366894164 Kathryn Barnett Behavioral Analyst 2785 Cason St # 2, Lafayette, IN 47904 2016-07-06
1881972917 Rest Assured, LLC Durable Medical Equipment & Medical Supplies 180 Professional Ct., Lafayette, IN 47904 2011-07-22
1144514233 Michelle Cristin Singleton Dietitian, Registered 508 N 26th St, Lafayette, IN 47904 2011-06-06
1912134438 Jean D Trammel Marriage & Family Therapist 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 2009-06-11
1902946056 Terry Richard Baker Optometrist 2300 Sagamore Parkway S, Lafayette, IN 47904 2007-02-07
1891862165 Becki A Bowditch Inc Social Worker 2201 Ferry Street, Lafayette, IN 47904 2006-11-29
1326121849 James Lowell Thomas Pediatrics 2300 Ferry St, Lafayette, IN 47904 2006-10-21
1700976719 Michael Leonard Bagnoli Dentist 2020 Union Street, Suite 200, Lafayette, IN 47904 2006-10-13
1255428801 Lynn Arlen Pestle Dentist 2550 Elmwood Avenue, Lafayette, IN 47904 2006-10-06
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1114558715 Danielle J Threatts Aprn LLC Nurse Practitioner 208 W Gloria Switch Rd Ste 219, Lafayette, LA 70507-3409 2020-02-01
1992359848 Harold G Frizzell Psychiatric Services LLC Nurse Practitioner 300 Thompson Loop, Lafayette, LA 70506-2820 2019-07-29
1154801876 Seth Jordan Bowers Nurse Practitioner 4906 Ambassador Caffery Pkwy # B, Lafayette, LA 70508-6962 2018-08-21
1205351137 Laura Lee Kight Nurse Practitioner 215 Rue Fontaine, Lafayette, LA 70508-5742 2017-08-11
1295273837 Cinderella Broussard LLC Nurse Practitioner 208 W Gloria Switch Rd # 6, Lafayette, LA 70507-3409 2017-02-02
1811441702 Amanda Barfield, LLC Nurse Practitioner 103 Epinal Dr, Lafayette, LA 70507-3241 2016-08-08
1437500519 April Breaux Nurse Practitioner 114 Representative Row Ste B, Lafayette, LA 70508-3878 2016-06-29
1497119481 Acadiana Healthcare Solutions LLC Nurse Practitioner 711 N Pierce St, Lafayette, LA 70501-3529 2016-04-06
1477926715 Lisa A. Chavis LLC Nurse Practitioner 2826 Louisiana Ave, 1202, Lafayette, LA 70501-1383 2015-11-09
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Competitor

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City LAFAYETTE
Zip Code 47904

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Dataset Information

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.

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