LYNELL WESTBROOK GATES (NPI# 1336645985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336645985 |
Entity Type | Individual |
Full Name | LYNELL WESTBROOK GATES |
Practice Address |
1311 N Arlington Ave Ste 102 Indianapolis IN 46219 |
Mailing Address |
1311 N Arlington Ave Ste 102 Indianapolis IN 46219-3260 |
Practice Telephone | 3172225064 |
Mailing Telephone | 3172225064 |
Enumeration Date | 2018-04-03 |
Last Update Date | 2019-10-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | ||
N | 385H00000X | Respite Care | Respite Care Facility |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 300026692 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 3172225064 |
Street Address |
1311 N ARLINGTON AVE STE 102 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46219 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760044218 | Celeste Denise Hedgespeth | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219-3260 | 2019-07-05 |
1851888796 | Rose Project Consulting LLC | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
1467871194 | Mimi Merrillyn Chung | Ophthalmology | 1400 N. Ritter, #281 Community East, Community Eye Care of Indiana, Inc., Indianapolis, IN 46219 | 2014-04-09 |
Find all providers in zip 46219 |
Taxonomy Code | 373H00000X |
Grouping | Nursing Service Related Providers |
Classification | Day Training/Habilitation Specialist |
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255976544 | Shenay Golden | Day Training/Habilitation Specialist | 9135 N Meridian St Ste B8, Indianapolis, IN 46260-1816 | 2019-11-11 |
1669031688 | Julia Phelps | Day Training/Habilitation Specialist | 1311 N Arlington Ave Ste 201, Indianapolis, IN 46219-3260 | 2019-06-12 |
1811453814 | Terry Anthony Webster Jr. | Day Training/Habilitation Specialist | 3710 Nuthatcher Dr, Indianapolis, IN 46228-1089 | 2019-02-14 |
1699240507 | Complete Tutoring & Mentoring LLC | Day Training/Habilitation Specialist | 8555 Cedar Place Dr Ste 112, Indianapolis, IN 46240-2344 | 2018-10-06 |
1275014789 | Charles Maurice Surrett | Day Training/Habilitation Specialist | 10608 Nassau St, Indianapolis, IN 46234-3183 | 2018-08-22 |
1851883102 | Kathy K Gates | Day Training/Habilitation Specialist | 1304 Mornington Dr, Indianapolis, IN 46239-8608 | 2018-06-02 |
1447658372 | Ike Boyd Jr. | Day Training/Habilitation Specialist | 1506 E 46th St, Indianapolis, IN 46205-2117 | 2014-12-09 |
1093067555 | Rachel D Taylor | Day Training/Habilitation Specialist | 6466 Bay Harbor Ln, Indianapolis, IN 46254-4514 | 2012-10-09 |
1700076098 | Michelle Lynn Conner | Day Training/Habilitation Specialist | 6144 Hanover Chase Ln, Indianapolis, IN 46239-1672 | 2007-08-01 |
1710018783 | Cassandra Elizabeth Crutchfield | Day Training/Habilitation Specialist | 8521 Sierra Ridge Dr, Apt. D, Indianapolis, IN 46239-8516 | 2007-03-08 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46219 |
Please comment or provide details below to improve the information on LYNELL WESTBROOK GATES.
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.