SANDRA S STAEHLER (NPI# 1164861944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164861944 |
| Entity Type | Individual |
| Full Name | SANDRA S STAEHLER |
| Credential | NP |
| Practice Address |
7979 N Shadeland Ave Ste 200 Indianapolis IN 46250-2042 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3176214300 |
| Practice Fax Number | 3176214301 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
71004456A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | AETNA | 4977520 | 01 |
| IN | RR MEDICARE | P01751326 | 01 |
| IN | MEDICARE RR | P01293583 | 01 |
| IN | 201172810 | 05 | |
| IN | ANTHEM | 000000825349 | 01 |
| Street Address |
7979 N SHADELAND AVE STE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153913 | Michael W Method | Obstetrics & Gynecology | 7979 N Shadeland Ave, Ste 310, Indianapolis, IN 46250-2042 | 2005-06-13 |
| 1407457047 | Morgan Corbin | Pharmacist | 7979 N Shadeland Ave, Indianapolis, IN 46250-2042 | 2020-11-02 |
| 1659819761 | Visionary Enterprises Inc | Prosthetic/Orthotic Supplier | 7979 N Shadeland Ave, Suite 110, Indianapolis, IN 46250-2042 | 2017-02-09 |
| 1134671340 | Jenna R Pulfer | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2016-11-04 |
| 1477928349 | Sarah Elizabeth Rayner | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2015-12-03 |
| 1699182352 | Courtney L Buratto | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2014-07-15 |
| 1083029474 | Lindsey M Addington | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2014-06-25 |
| 1902211204 | Ashley E Regal | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2014-06-25 |
| 1801231931 | Samantha N. Davis | Physician Assistant | 7979 N Shadeland Ave, Suite 310, Indianapolis, IN 46250-2042 | 2013-05-02 |
| 1871848770 | Jolyn Marie Holliday Veza | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2012-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567249 | Sarah E Munson | Nurse Practitioner | 1633 N Capitol Ave Ste 680, Indianapolis, IN 46202-1281 | 2020-08-06 |
| 1750844890 | Sarah Kathleen Cherry | Nurse Practitioner | 4326 Maldenhair Dr, Indianapolis, IN 46239-9033 | 2019-04-06 |
| 1184103459 | Katherine Rose Ahaus | Nurse Practitioner | 1801 Senate Blvd Ste 230, Indianapolis, IN 46202-1252 | 2018-08-08 |
| 1386197770 | Masita Isabel Poray | Nurse Practitioner | 5435 E 16th St Ste 500, Indianapolis, IN 46218-4869 | 2016-08-02 |
| 1316370612 | Paradigm Living Concepts, LLC | Nurse Practitioner | 8904 Bash St Ste B, Indianapolis, IN 46256-1286 | 2013-08-10 |
| 1902414709 | Michelle Nicole Gibson | Nurse Practitioner | 1801 N Senate Blvd, Indianapolis, IN 46202-1228 | 2020-07-17 |
| 1467081455 | Sarah Elizabeth Wheeler | Nurse Practitioner | 1801 N Senate Blvd Ste 635, Indianapolis, IN 46202-1212 | 2020-04-02 |
| 1154965531 | Monica Deryckere | Nurse Practitioner | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2019-10-29 |
| 1699318592 | Marcy Penrod | Nurse Practitioner | 8333 Naab Rd, Indianapolis, IN 46260-5924 | 2019-10-23 |
| 1124677000 | Amanda Marie Mccoy Ignaut | Nurse Practitioner | 1402 E County Line Rd, Indianapolis, IN 46227-0963 | 2019-09-04 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
Please comment or provide details below to improve the information on SANDRA S STAEHLER.
| 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.