DR. CAITLIN MARY ELLYN MAMMOLENTI


Address: 8414 Naab Rd, Indianapolis, IN 46260-1972
Phone: 3173386399

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 8414 NAAB RD
City INDIANAPOLIS
State IN
Zip Code 46260-1972

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City INDIANAPOLIS
Zip Code 46260

Improve Information

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Dataset Information

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.

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