SHAUN KELLI CHALFANT (NPI# 1558980565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558980565 |
| Entity Type | Individual |
| Full Name | SHAUN KELLI CHALFANT |
| Practice Address |
2708 Ferry St Lafayette IN 47904-3021 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 7654491555 |
| Mailing Telephone | 3175284800 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
28211669A | IN | Nursing Service Providers |
| Street Address |
2708 FERRY ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285617803 | Mazen Alakhras | Internal Medicine | 2708 Ferry St, Lafayette, IN 47904 | 2005-11-29 |
| 1659982270 | Shana Moreno | Nurse Practitioner | 2708 Ferry St, Lafayette, IN 47904-3021 | 2020-08-17 |
| 1528616513 | Kerri Rene Dexter | Registered Nurse | 2708 Ferry St, Lafayette, IN 47904-3021 | 2019-09-03 |
| 1588017560 | Komivi Womitso | Family Medicine | 2708 Ferry St, Lafayette, IN 47904-3021 | 2016-07-14 |
| 1912365131 | Lindsay Michelle Vanlaere | Nurse Practitioner | 2708 Ferry St, Lafayette, IN 47904-3021 | 2016-02-02 |
| 1609057769 | Brooke Ellen Pletcher | Family Medicine | 2708 Ferry St, Lafayette, IN 47904-3021 | 2007-11-16 |
| 1578671236 | Juliana Rae Gaeta | Family Medicine | 2708 Ferry St, Lafayette, IN 47904-3021 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918987 | Amy Elizabeth Manahan | Registered Nurse | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-10-04 |
| 1720513047 | Devin Lindsay Scarcliff-wood | Registered Nurse | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2017-04-24 |
| 1184013500 | Michele Rundall-aemmer | Registered Nurse | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2015-01-22 |
| 1821340167 | Kimberly Leann Karraker | Registered Nurse | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2012-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893940 | Nachel Anne Rhoades | Registered Nurse | 714 Cottage Ave, Indianapolis, IN 46203-2709 | 2020-08-26 |
| 1730717901 | Whitney M Powe | Registered Nurse | 3145 Ruckle St, Indianapolis, IN 46205-3969 | 2020-04-01 |
| 1902384274 | Kara Jean Armstrong | Registered Nurse | 209 E Pat Rady Way, Bainbridge, IN 46105-5508 | 2018-07-30 |
| 1124515853 | Judith M Ayres | Registered Nurse | 59 S Clay St, Mooresville, IN 46158-1616 | 2018-04-18 |
| 1487150124 | Patrice R. Mosley | Registered Nurse | 9385 E Washington St, Indianapolis, IN 46229 | 2018-04-02 |
| 1285157859 | Jennifer Elizabeth Reynolds | Registered Nurse | 3029 Oberlin Ct, Indianapolis, IN 46268-1324 | 2017-07-25 |
| 1063963619 | Zachary Lawrence Jesko | Registered Nurse | 401 Wall St Unit F, Valparaiso, IN 46383-2585 | 2016-10-19 |
| 1174979652 | Amy Louise Sprague | Registered Nurse | 3460 E Loretta Dr, Indianapolis, IN 46227-7766 | 2016-05-13 |
| 1194179994 | Elizabeth Jean Murray | Registered Nurse | 10835 Highway 150, Greenville, IN 47124-9214 | 2016-04-18 |
| 1568874485 | Erica Harris | Registered Nurse | 10909 Bethel Rd, Fort Wayne, IN 46818-8913 | 2014-05-27 |
| 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.