MS. KELLY RENEE HARDESTY (NPI# 1265957971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265957971 |
| Entity Type | Individual |
| Full Name | MS. KELLY RENEE HARDESTY |
| Credential | NP |
| Practice Address |
703 N Main St Kouts IN 46347-9692 |
| Mailing Address |
401 Ross Ave Kouts IN 46347-9560 |
| Practice Telephone | 2197663131 |
| Mailing Telephone | 2196787714 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
28187389A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669953238 | Kelly Hardesty | Physical Therapist | 1615 Ridenour Blvd Nw Ste 204, Kennesaw, GA 30152-4464 | 2018-08-22 |
| Street Address |
703 N MAIN ST |
| City | KOUTS |
| State | IN |
| Zip Code | 46347-9692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457513764 | Garry Lee Brady | General Practice | 703 N Main St, Kouts, IN 46347-9692 | 2008-06-27 |
| 1396808267 | Karen Dunning | Nurse Practitioner | 703 N Main St, Kouts, IN 46347-9692 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497972772 | Kathy Lynch | Nurse Practitioner | 705 N Main St., Kouts, IN 46347 | 2007-04-19 |
| 1558411355 | Robert E. Hott | Dentist | 306 S. Main Street, Kouts, IN 46347 | 2007-01-12 |
| 1679645584 | Paul Timmons | Dentist | 306 S Main St, Kouts, IN 46347-0429 | 2006-11-15 |
| 1437695251 | East Porter County School Corporation | Local Education Agency (LEA) | 502 E College Ave, Kouts, IN 46347-7035 | 2017-01-18 |
| 1104902493 | Scheddell & Wendt Bros. Drugs | Pharmacist | 207 S Main St, Kouts, IN 46347-9412 | 2006-10-28 |
| 1477703395 | Cindy Rae Lybolt | Midwife, Lay | 714 Baums Bridge Rd, Kouts, IN 46347-9617 | 2008-09-28 |
| 1184902637 | Ruta E Zamitis | Social Worker | 705 N Main St, Kouts, IN 46347-9692 | 2011-08-02 |
| 1609196039 | Kouts Health Care, Inc | Registered Nurse | 705 N Main St, Kouts, IN 46347-9692 | 2010-06-08 |
| 1679775902 | Kouts Family Health Care, IInc | Nurse Practitioner | 705 N Main St, Kouts, IN 46347-9692 | 2007-05-31 |
| 1215058151 | Midwest Center for Youth & Families | Psychiatric Hospital | 1012 W Indiana St, Kouts, IN 46347-9703 | 2007-04-02 |
| Find all providers in zip 46347 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679775902 | Kouts Family Health Care, IInc | Nurse Practitioner | 705 N Main St, Kouts, IN 46347-9692 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
| 1578162459 | Kourtney Marie Terry | Nurse Practitioner | 128 Miner Rd, Avilla, IN 46710-9690 | 2020-10-21 |
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1730788720 | Camille Mae Carl | Nurse Practitioner | 6441 Anna Louise Dr, Charlestown, IN 47111-8797 | 2020-10-20 |
| 1124626585 | Dustin Mikesell | Nurse Practitioner | 1000 E Main St Ste 104, Danville, IN 46122-1948 | 2020-10-16 |
| 1144828799 | Mina Desai-patel | Nurse Practitioner | 14698 Drayton Dr, Noblesville, IN 46062-8230 | 2020-10-15 |
| 1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
| 1023616125 | Kimberly Dawn Calloway | Nurse Practitioner | 5306 E Blocher Rd, Lexington, IN 47138-8803 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
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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.