KELLIE Y GRILE


Address: 3600 W Bethel Ave, Muncie, IN 47304-5407
Phone: 7652847738

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WX0800X Registered Nurse
Specialization: Orthopedic
28105082A IN Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM PIN # 000000361956 01

Office Location

Street Address 3600 W BETHEL AVE
City MUNCIE
State IN
Zip Code 47304-5407

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WX0800X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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

Competitor

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City MUNCIE
Zip Code 47304

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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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