KESHA RAE KELLY (NPI# 1205094000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205094000 |
Entity Type | Individual |
Full Name | KESHA RAE KELLY |
Credential | NP |
Practice Address |
8091 Township Line Rd Ste 206 Indianapolis IN 46260-2495 |
Practice Telephone | 3174151000 |
Practice Fax Number | 3174151010 |
Mailing Telephone | 3174151000 |
Mailing Fax Number | 3174151010 |
Enumeration Date | 2008-05-28 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
71001948A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200540450 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
8240 Naab Rd, Suite 400, Indianapolis, IN 462605927 | 3174151000 | 3174151010 |
Street Address |
8091 TOWNSHIP LINE RD STE 206 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46260-2495 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760464374 | Madalyn K. Squires | Obstetrics & Gynecology | 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 | 2005-11-18 |
1396350187 | Seven Hills Ob-gyn Associates LLC | Nurse Practitioner | 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 | 2020-09-09 |
1598244725 | Lara M Naanouh | Nurse Practitioner | 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 | 2018-08-08 |
1548619596 | Christian C Dawes | Obstetrics & Gynecology | 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 | 2016-06-10 |
1629438155 | Alyssa Barr | Registered Nurse | 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 | 2016-02-25 |
1336481019 | Megan Kathleen Monaghan Stoller | Obstetrics & Gynecology | 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 | 2013-03-20 |
1245539600 | Jennifer Tinder | Obstetrics & Gynecology | 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 | 2011-03-23 |
1497972665 | Brandy M Hughes | Obstetrics & Gynecology | 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 | 2007-04-19 |
1194865956 | Hilary Gaudreau | Obstetrics & Gynecology | 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 | 2007-02-08 |
1942340799 | John Thomas Cleary | Obstetrics & Gynecology | 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 | 2007-02-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
Find all providers in zip 46260 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255595450 | Natalie N Strong | Nurse Practitioner | 2040 N Shadeland Ave Ste 300, Indianapolis, IN 46219-1712 | 2008-07-16 |
1962033324 | Jennifer Pillow | Nurse Practitioner | 2700 Dr Martin Luther King Jr St, Indianapolis, IN 46208-5019 | 2020-02-03 |
1801146295 | Li'toia C Kendrick | Nurse Practitioner | 7120 Clearvista Dr Ste 5100, Indianapolis, IN 46256-1868 | 2012-09-13 |
1528314507 | Christina Humphrey | Nurse Practitioner | 7120 Clearvista Dr Ste 2000, Indianapolis, IN 46256-1621 | 2012-07-27 |
1629349998 | Danae Leah Young | Nurse Practitioner | 1002 Wishard Blvd, Indianapolis, IN 46202-2872 | 2012-01-19 |
1225310147 | Nancy Menning | Nurse Practitioner | 8111 S Emerson Ave, Suite 204, Indianapolis, IN 46237-8601 | 2011-09-16 |
1225326606 | Claudia Jeanne Brock | Nurse Practitioner | 1520 N Senate Ave, Indianapolis, IN 46202-2213 | 2011-07-19 |
1316185861 | Jessica A Cole | Nurse Practitioner | 10122 E 10th St, Suite 230, Indianapolis, IN 46229-2664 | 2009-01-21 |
1033141155 | Annette Rene Moore | Nurse Practitioner | 1550 E County Line Rd, Ste 300, Indianapolis, IN 46227-1000 | 2006-07-07 |
1447291257 | Meg Moorman | Nurse Practitioner | 1801 N Senate Blvd, Suite 210, Indianapolis, IN 46202-1228 | 2006-06-10 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46260 |
Please comment or provide details below to improve the information on KESHA RAE KELLY.
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.