KIMBERLY SUE STULL (NPI# 1649613159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649613159 |
| Entity Type | Individual |
| Full Name | KIMBERLY SUE STULL |
| Credential | NP |
| Practice Address |
705 N Riley Ave Indianapolis IN 46201-2923 |
| Mailing Address |
1964 Odell St Brownsburg IN 46112-8001 |
| Practice Telephone | 3179440233 |
| Mailing Telephone | 3173745642 |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
28137802A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
705 N RILEY AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46201-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457876575 | Alyssia Hawthorne | Contractor | 810 N Bosart, Indianapolis, IN 46201 | 2017-08-09 |
| 1710221833 | Candace D Clayton | Specialist/Technologist | 1500 E. Michigan St, Arsenal Tech West Gym Atr, Indianapolis, IN 46201 | 2012-11-15 |
| 1427211739 | Vanessa Antonie Flora | Physical Therapist | 1001 W 10th Street, Indianapolis, IN 46201 | 2008-07-07 |
| 1194993642 | Steve C. Linville | Counselor | 5049 E. 11th Street, Indianapolis, IN 46201 | 2008-02-19 |
| 1336355023 | Brenda Gay Barker | Family Medicine | 11 N Eastern Avenue, Good Samaritan Health Clinic, Indianapolis, IN 46201 | 2007-05-16 |
| 1447541347 | Kimberly Denise Wolfe | Registered Nurse | 1776 Brookside Ave, Indianapolis, IN 46201-1018 | 2011-04-26 |
| 1235645318 | Armaryllis Y Lewis | Counselor | 1402 Commerce Ave, Indianapolis, IN 46201-1141 | 2017-12-27 |
| 1184160608 | Sarah Ann Battista | Registered Nurse | 1250 N State Ave, Indianapolis, IN 46201-1162 | 2017-01-07 |
| 1821330234 | Kindra Marie Hunckler | Doula | 1115 N Tacoma Ave, Indianapolis, IN 46201-1334 | 2013-03-24 |
| 1497279897 | Timothy Barnes | Respite Care | 1406 N Dearborn St, Indianapolis, IN 46201-1412 | 2017-07-28 |
| Find all providers in zip 46201 | ||||
| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629411459 | Natalie Szczypiorski | Nurse Practitioner | 705 Riley Hospital Dr, Roc 4270, Riley Hospital for Children, Indianapolis, IN 46202 | 2013-04-11 |
| 1942435177 | Lori Miller | Nurse Practitioner | 8645 N Meridian St, Indianapolis, IN 46260-5302 | 2009-05-18 |
| 1689111049 | Erika L Ingle | Nurse Practitioner | 545 Barnhill Dr, Eh 215, Indianapolis, IN 46202-5112 | 2017-01-24 |
| 1881053445 | Anila N Paul | Nurse Practitioner | 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 | 2016-02-11 |
| 1053717900 | Anthony Coddington | Nurse Practitioner | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2014-11-05 |
| 1720007073 | Jennifer C. Hamilton | Nurse Practitioner | 705 Riley Hospital Dr, Ri 4900, Indianapolis, IN 46202-5109 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144548397 | Sandra Kay Kennedy | Nurse Practitioner | 4965 Beechwood Cir, Avon, IN 46123-4621 | 2010-05-12 |
| 1144785031 | Maureen Mackenzie Flynn | Nurse Practitioner | 1629 Medical Arts Blvd Ste 200, Anderson, IN 46011-3454 | 2019-02-05 |
| City | INDIANAPOLIS |
| Zip Code | 46201 |
Please comment or provide details below to improve the information on KIMBERLY SUE STULL.
| 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.