KELLIE Y GRILE (NPI# 1669575775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669575775 |
| Entity Type | Individual |
| Full Name | KELLIE Y GRILE |
| Credential | RN |
| Practice Address |
3600 W Bethel Ave Muncie IN 47304-5407 |
| Mailing Address |
Po Box 1643 Muncie IN 47308-1643 |
| Practice Telephone | 7652847738 |
| Practice Fax Number | 7652133713 |
| Mailing Telephone | 7652847735 |
| Mailing Fax Number | 7652133713 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WX0800X |
Registered Nurse Specialization: Orthopedic |
28105082A | IN | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PIN # | 000000361956 | 01 |
| Street Address |
3600 W BETHEL AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700882396 | Matthew T Dewitt | Podiatrist | 3600 W Bethel Ave, Muncie, IN 47304 | 2005-06-28 |
| 1376151456 | Curtis Lee Laws | Nurse Practitioner | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2020-07-15 |
| 1124587035 | Cio Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2019-03-19 |
| 1578036265 | Tricia M James | Nurse Practitioner | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2019-01-07 |
| 1164917050 | Central Indiana Orthopedic Surgery Center, LLC | Clinic/Center | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2018-06-25 |
| 1346751930 | Elizabeth Gertrude Wendel | Physical Therapy Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2017-10-23 |
| 1801347299 | Joseph Richichi | Physician Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2016-10-20 |
| 1891246559 | U.S. Healthworks Medical Group of Indiana, PC | Clinic/Center | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2016-10-18 |
| 1164972071 | Ericka Lynn Lennartz | Physical Therapy Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2016-10-04 |
| 1114476611 | Karissa Carpenter | Physician Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2016-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 163WX0800X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255535878 | Stephanie Gaby | Registered Nurse | 1208 Broadway St, Indianapolis, IN 46202-2737 | 2007-06-14 |
| 1104029644 | Diana Handley | Registered Nurse | 560 Redwood Dr, Pendleton, IN 46064-9263 | 2007-06-11 |
| 1053937961 | Kay Elizabeth Brown | Registered Nurse | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2020-06-17 |
| 1801365598 | Andrew Ray Hughes | Registered Nurse | 1725 N 5th St, Terre Haute, IN 47804-4010 | 2018-11-26 |
| 1922208040 | Christopher Volz | Registered Nurse | 201 Pennsylvania Pkwy, Suite 200, Indianapolis, IN 46280-2301 | 2007-07-18 |
| 1447450564 | Lisa L Zedonis | Registered Nurse | 201 Pennsylvania Pkwy, Suite 100, Indianapolis, IN 46280-2301 | 2007-07-18 |
| 1811196702 | Robert Jeffrey Gray | Registered Nurse | 201 Pennsylvania Pkwy, Suite 100, Indianapolis, IN 46280-2301 | 2007-07-12 |
| 1881797694 | Stacey L. Ross | Registered Nurse | 265 S Scatterfield Rd, Anderson, IN 46012-5106 | 2006-09-07 |
| 1497858534 | Haley N Ukiri | Registered Nurse | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2006-09-06 |
Please comment or provide details below to improve the information on KELLIE Y GRILE.
| 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.