KELLY L WARREN (NPI# 1326480948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326480948 |
| Entity Type | Individual |
| Full Name | KELLY L WARREN |
| Credential | NURSE PRACTITIONER |
| Practice Address |
8075 N Shadeland Ave Suite 200 Indianapolis IN 46250-2693 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3176218500 |
| Practice Fax Number | 3176218501 |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2014-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28177166A | IN | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 71004533A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE RR PTAN | P01307616 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104235233 | Kelly Goodpaster Warren | Dentist | 535 Wellington Way Ste 120, Lexington, KY 40503-1387 | 2014-08-01 |
| 1760619639 | Kelly C Warren | Registered Nurse | 2000 Mckenzie St, Fort Worth, TX 76105-3053 | 2009-06-17 |
| 1306801071 | Kelly John Warren | Dermatology | 3920 Nw 49th St, Tamarac, FL 33309 | 2006-04-18 |
| 1760995450 | Kelly J Warren | Case Manager/Care Coordinator | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2017-11-16 |
| 1538680335 | Kelly Puz Warren | Counselor | 227 N Market St, Washington, NC 27889-4949 | 2017-06-30 |
| 1891105193 | Kelly Warren | Psychologist | 2447 Pacific Coast Hwy Ste 213, Hermosa Beach, CA 90254-2714 | 2014-05-07 |
| 1164767398 | Kelly H Warren | Nurse Practitioner | 10600 Industrial Dr, Minden, LA 71055-5105 | 2012-11-28 |
| 1396039657 | Kelly Ann Warren | Pharmacist | 1285 Som Center Rd, T-1324, Mayfield Heights, OH 44124-2073 | 2011-06-04 |
| 1528378650 | Kelly Warren | Licensed Practical Nurse | 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 | 2010-10-07 |
| 1093923856 | Kelly Dawn Warren | Social Worker | 222 Tongass Dr, Sitka, AK 99835-9416 | 2007-05-17 |
| Street Address |
8075 N SHADELAND AVE SUITE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-2693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922005289 | Angela Kaye Unfried | Physician Assistant | 8075 N Shadeland Ave, Suite 120, Indianapolis, IN 46250-2693 | 2005-07-01 |
| 1780158352 | Kay Ellen Simon | Nurse Practitioner | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2019-01-17 |
| 1831667823 | Jaswinder Jalf | Nurse Practitioner | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2018-11-07 |
| 1588130108 | Diane Marie Doty | Clinical Nurse Specialist | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2018-10-22 |
| 1457887622 | Kelly Ann Lowe | Registered Nurse | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2017-05-10 |
| 1548713290 | Lacey Keller | Registered Nurse | 8075 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2693 | 2016-07-29 |
| 1780025247 | Community Health Network | General Acute Care Hospital | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2013-07-12 |
| 1780021758 | Kendra Marie Storer | Registered Nurse | 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 2013-05-30 |
| 1356787493 | Jennifer Ruth Heisick | Nurse Practitioner | 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 2013-05-16 |
| 1598018749 | Nicole B Finkelmeier | Physician Assistant | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2012-10-24 |
| 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 | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
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| 1164063202 | Katlyn Rader | Nurse Practitioner | 8333 Naab Rd Ste 420, Indianapolis, IN 46260-1992 | 2019-09-30 |
| 1609423680 | Kari Tucker | Nurse Practitioner | 8435 Keystone Xing Ste 108, Indianapolis, IN 46240-4373 | 2019-08-23 |
| 1598320566 | The Health and Hospital Corporation of Marion County | Nurse Practitioner | 9165 Otis Ave Ste 112, Indianapolis, IN 46216-2311 | 2019-05-06 |
| 1841855897 | The Health and Hospital Corporation of Marion County | Nurse Practitioner | 6920 Parkdale Pl Ste 107, Indianapolis, IN 46254-5604 | 2019-05-06 |
| 1073178059 | The Health and Hospital Corporation of Marion County | Nurse Practitioner | 2506 Willowbrook Pkwy Ste 299, Indianapolis, IN 46205-1548 | 2019-05-06 |
| 1215406699 | Michele Dawn Cambridge | Nurse Practitioner | 7007 Graham Rd Ste 215, Indianapolis, IN 46220-4063 | 2018-11-15 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
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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.