NAKEETA STANSBERRY (NPI# 1649400896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649400896 |
| Entity Type | Individual |
| Full Name | NAKEETA STANSBERRY |
| Credential | FNP-C |
| Practice Address |
1330 W Southport Rd Indianapolis IN 46217 |
| Mailing Address |
3266 N Meridian St Ste 101 Indianapolis IN 46208-5859 |
| Practice Telephone | 3178844256 |
| Mailing Telephone | 3179250653 |
| Mailing Fax Number | 3174540739 |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71008214A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1330 W SOUTHPORT RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710050232 | Kroger Limited Partnership I | Pharmacy | 1330 W Southport Rd, Indianapolis, IN 46217-5301 | 2006-11-15 |
| 1669010245 | Angela Singh | Pharmacist | 1330 W Southport Rd, Indianapolis, IN 46217-5301 | 2019-12-14 |
| 1013553114 | Jacob Pollard | Pharmacist | 1330 W Southport Rd, Indianapolis, IN 46217-5301 | 2019-11-23 |
| 1316596950 | Aliscia Pace | Nurse Practitioner | 1330 W Southport Rd, Indianapolis, IN 46217-5301 | 2019-09-06 |
| 1669955449 | Jason Soultz | Nurse Practitioner | 1330 W Southport Rd, Indianapolis, IN 46217 | 2018-09-08 |
| 1699253583 | Ashley Elizabeth Smith | Nurse Practitioner | 1330 W Southport Rd, Indianapolis, IN 46217-5301 | 2018-08-01 |
| 1164807418 | Megan Boas | Pharmacist | 1330 W Southport Rd, Indianapolis, IN 46217-5301 | 2015-07-28 |
| 1154722684 | Kristina Lynne Place | Nurse Practitioner | 1330 W Southport Rd, Indianapolis, IN 46217-5301 | 2014-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1457900375 | Kara Combs | Technician | 8737 Winding Ridge Rd, Indianapolis, IN 46217 | 2019-09-04 |
| 1750789459 | Stephanie Johnson | Specialist/Technologist | 8542 Gallant Fox Dr., Indianapolis, IN 46217 | 2014-12-11 |
| 1336480623 | Lauren Marie Carter | Nurse Practitioner | 8970 S Meridian St., Indianapolis, IN 46217 | 2013-03-12 |
| 1912175662 | Staci L Vanzant | Social Worker | 8820 N Meridian St, Ste 225, Indianapolis, IN 46217 | 2008-02-15 |
| 1568684934 | Lifetime Dental Care of Indiana, PC | Dentist | 8923 South Meridian Street, Suite B, Indianapolis, IN 46217 | 2007-05-03 |
| 1912093659 | Anna Marie Heidenreich | Pharmacist | 8820 S Meridian #105, Indianapolis, IN 46217 | 2006-10-04 |
| 1316083652 | Linnea J. Nelson | Family Medicine | 6925 S Harding St, Suite B-1, Indianapolis, IN 46217 | 2007-01-30 |
| 1902343346 | Count On Me Senior Care | Preferred Provider Organization | 359 Creekbend Ln, Indianapolis, IN 46217-2720 | 2017-01-24 |
| 1780837765 | Medex, Inc. | Durable Medical Equipment & Medical Supplies | 5640 S Meridian St Ste B1, Indianapolis, IN 46217-2761 | 2008-11-04 |
| Find all providers in zip 46217 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1922614965 | Children Express Care Clinic LLC | Nurse Practitioner | 5435 Emerson Way Ste 110, Indianapolis, IN 46226-1470 | 2020-09-16 |
| 1255956272 | Heather Nicole Zore | Nurse Practitioner | 9240 N Meridian St Ste 225, Indianapolis, IN 46260-1880 | 2020-06-15 |
| 1457976615 | Adam Weir | Nurse Practitioner | 960 E Washington St, Indianapolis, IN 46202-3981 | 2020-06-13 |
| 1457975740 | Ayee Teah Bleemie | Nurse Practitioner | 429 E Vermont St Ste 100, Indianapolis, IN 46202-3688 | 2020-06-02 |
| 1689294357 | May Josefa Ishikawa | Nurse Practitioner | 705 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5109 | 2020-04-22 |
| 1760001200 | John Shaver | Nurse Practitioner | 3750 N Meridian St Ste 100, Indianapolis, IN 46208-4300 | 2020-04-14 |
| 1851931000 | Robin L Petit | Nurse Practitioner | 6925 S Harding St Ste B-1, Indianapolis, IN 46217-4114 | 2020-01-15 |
| 1952941577 | Andreya Beckett | Nurse Practitioner | 3500 Depauw Blvd Ste 1041, Indianapolis, IN 46268-6125 | 2020-01-11 |
| 1053950105 | Shannon Malecki | Nurse Practitioner | 550 University Blvd Ste 5630, Indianapolis, IN 46202-5149 | 2020-01-06 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46217 |
Please comment or provide details below to improve the information on NAKEETA STANSBERRY.
| 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.