DR. CAITLIN MARY ELLYN MAMMOLENTI (NPI# 1619505674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619505674 |
| Entity Type | Individual |
| Full Name | DR. CAITLIN MARY ELLYN MAMMOLENTI |
| Credential | MD |
| Practice Address |
8414 Naab Rd Indianapolis IN 46260-1972 |
| Practice Telephone | 3173386399 |
| Mailing Telephone | 3173386399 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
8414 NAAB RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-1972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700884806 | Terry Lynn Henderson | Family Medicine | 8414 Naab Rd, Indianapolis, IN 46260-1972 | 2005-07-12 |
| 1841890035 | Wendy Lemasters | Pharmacist | 8414 Naab Rd, Indianapolis, IN 46260-1972 | 2020-10-28 |
| 1114524535 | Marija Lapkus | Pharmacist | 8414 Naab Rd, Indianapolis, IN 46260-1972 | 2020-10-08 |
| 1255938031 | Olivia Nicole Goebel | Pharmacist | 8414 Naab Rd, Indianapolis, IN 46260-1972 | 2020-10-05 |
| 1750998266 | Jennifer Myers | Social Worker | 8414 Naab Rd, Indianapolis, IN 46260-1972 | 2020-09-29 |
| 1427686682 | Prabhjot Hundal | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd, Indianapolis, IN 46260-1972 | 2020-03-31 |
| 1194353854 | Thomas Fisher-heath | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd, Indianapolis, IN 46260-1972 | 2020-03-30 |
| 1467080200 | Jon Handy | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd, Indianapolis, IN 46260-1972 | 2020-03-28 |
| 1417584418 | Ashley Alexandra Detzner | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd, Indianapolis, IN 46260-1972 | 2020-03-27 |
| 1982231981 | Alexandria M Ceranske | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd, Indianapolis, IN 46260-1972 | 2020-03-27 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938197 | Christopher Rodney West | Student in an Organized Health Care Education/Training Program | 8616 Burrell Ln, Indianapolis, IN 46256-6306 | 2020-10-05 |
| 1285241828 | Paris Janee Avant | Student in an Organized Health Care Education/Training Program | 8926 Mario Creek Dr, Indianapolis, IN 46234 | 2020-09-28 |
| 1992318158 | Maria Yvette Borden | Student in an Organized Health Care Education/Training Program | University of Indianapolis, Health Pavilion 253, Indianapolis, IN 46217 | 2020-08-27 |
| 1457963563 | Janelle M Bonitati | Student in an Organized Health Care Education/Training Program | 914 E 50th St, Indianapolis, IN 46205-1112 | 2020-08-19 |
| 1629688718 | Krisha Anne Retherford | Student in an Organized Health Care Education/Training Program | 4548 Sundance Trl, Indianapolis, IN 46239-9716 | 2020-08-04 |
| 1740806132 | Vanessa Renee Ianson | Student in an Organized Health Care Education/Training Program | 325 Bangor Dr, Indianapolis, IN 46227-2423 | 2020-06-22 |
| 1881219475 | Stephanie Scalf | Student in an Organized Health Care Education/Training Program | 4912 E 69th St, Indianapolis, IN 46220-3826 | 2020-06-10 |
| 1831719863 | Austin Martin Henderson | Student in an Organized Health Care Education/Training Program | 1520 N Senate Ave Dept Of, Indianapolis, IN 46202-2213 | 2020-04-20 |
| 1194344572 | Kaitlyn Edwards | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr # 5837, Indianapolis, IN 46202-5109 | 2020-04-15 |
| 1700405347 | Russell Reed | Student in an Organized Health Care Education/Training Program | 1120 W Michigan St Ste 630, Indianapolis, IN 46202-5209 | 2020-04-14 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on DR. CAITLIN MARY ELLYN MAMMOLENTI.
| 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.