MRS. KELLI JEANNE CARIE (NPI# 1689298622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689298622 |
| Entity Type | Individual |
| Full Name | MRS. KELLI JEANNE CARIE |
| Credential | FNP-C |
| Practice Address |
406 N 1st St Vincennes IN 47591-1340 |
| Mailing Address |
8220 S Ruppel Rd Vincennes IN 47591-7672 |
| Practice Telephone | 8128824694 |
| Mailing Telephone | 8128878263 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71010196A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
28173973A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | APN LICENSE | 71010196A | 01 |
| IN | CSR | 71010196B | 01 |
| IN | DEA | MC6022557 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1216 Washington Ave, Vincennes, IN 475912245 | 8128856960 | 8128856961 |
| 1813 Willow Street, Suite 3, Vincennes, IN 475914279 | 8128858941 | 8128858940 |
| Street Address |
406 N 1ST ST |
| City | VINCENNES |
| State | IN |
| Zip Code | 47591-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811972128 | Michael J Kelly | Family Medicine | 406 N 1st St, Vincennes, IN 47591-1340 | 2005-12-08 |
| 1629550165 | Jamie L Frederick | Nurse Practitioner | 406 N 1st St, Vincennes, IN 47591-1340 | 2018-08-31 |
| 1285087973 | Jill M Cucinella | Nurse Practitioner | 406 N 1st St, Vincennes, IN 47591-1340 | 2016-07-18 |
| 1225497308 | Good Samaritan Hospital | Radiologic Technologist | 406 N 1st St, Vincennes, IN 47591-1340 | 2016-02-17 |
| 1184092819 | Kristina Lecrone | Nurse Practitioner | 406 N 1st St, Vincennes, IN 47591 | 2015-09-11 |
| 1225468291 | Sarah Elizabeth Deitz | Dietitian, Registered | 406 N 1st St, Vincennes, IN 47591-1340 | 2013-11-12 |
| 1750643573 | Caroline Steinman | Family Medicine | 406 N 1st St, Vincennes, IN 47591-1340 | 2012-06-08 |
| 1255615597 | Andrea M Miller | Nurse Practitioner | 406 N 1st St, Vincennes, IN 47591-1340 | 2011-10-05 |
| 1134352339 | Heather Michele Ludwig Akers | Family Medicine | 406 N 1st St, Vincennes, IN 47591-1340 | 2009-09-03 |
| 1851580823 | Sally Bodensteiner | Family Medicine | 406 N 1st St, Vincennes, IN 47591-1340 | 2007-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688484 | Mary Alsakka | Pharmacist | 602 Kimmell Rd, Vincennes, IN 47591 | 2020-10-30 |
| 1265053854 | Hamilton Center Inc. | Clinic/Center | 1433 Willow Street, Vincennes, IN 47591 | 2020-05-05 |
| 1134690654 | Deaconess Hospital Inc | Durable Medical Equipment & Medical Supplies | 516 S. 9th St, Vincencces, IN 47591 | 2018-12-10 |
| 1730612698 | Advanced Pain Care Clinic Psc | Pain Medicine | 1813 Willow St Ste 3b, Vincennes, IN 47591 | 2017-04-07 |
| 1033566203 | Jennifer Hoyt | Nurse Practitioner | 1813 Willow St Ste 3a, Vincennes, IN 47591 | 2016-05-18 |
| 1821469602 | Riverside Family Clinic, Inc | Nurse Practitioner | 328 N 2nd St, Suite 102, Vincennes, IN 47591 | 2015-10-19 |
| 1902205594 | Kathleen Garner | Physical Therapy Assistant | 3901 Old Bruceville Road, Vincennes, IN 47591 | 2014-08-19 |
| 1467703645 | Molly Ann Barth | Speech-Language Pathologist | 3801 Old Bruceville Road, Vincennes, IN 47591 | 2012-09-27 |
| 1083965776 | Tiffany Renee Neukam | Occupational Therapist | 1900 College Ave., Vincennes, IN 47591 | 2012-09-21 |
| 1396057089 | Jericho Lynn Quick | Optometrist | 1813 Willow St Ste 2a, Vincennes, IN 47591 | 2010-07-09 |
| Find all providers in zip 47591 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417407024 | Jami L Dowell | Nurse Practitioner | 1602 N. Upper 11 Street, Vincennes, IN 47591-4820 | 2016-10-06 |
| 1033566203 | Jennifer Hoyt | Nurse Practitioner | 1813 Willow St Ste 3a, Vincennes, IN 47591 | 2016-05-18 |
| 1821469602 | Riverside Family Clinic, Inc | Nurse Practitioner | 328 N 2nd St, Suite 102, Vincennes, IN 47591 | 2015-10-19 |
| 1003135864 | Elaine L Burcham | Nurse Practitioner | 1910 Mcdowell Rd, Vincennes, IN 47591 | 2010-05-19 |
| 1154553196 | Ann Marie Vash | Nurse Practitioner | 1813 Willow St # 3a, Vincennes, IN 47591-4276 | 2009-08-10 |
| 1710067830 | Theresa A Hutchison | Nurse Practitioner | 1813 Willow St Ste 3, Vincennes, IN 47591-4279 | 2006-10-16 |
| 1902417686 | Melanie Josephine Pickett | Nurse Practitioner | 1600 Willow St, Vincennes, IN 47591-4200 | 2020-08-14 |
| 1629692942 | Jaime Michelle Parkes | Nurse Practitioner | 429 S 6th St, Vincennes, IN 47591-1022 | 2020-06-02 |
| 1831710581 | Leeann Roberts | Nurse Practitioner | 520 S 7th St # 159, Vincennes, IN 47591-1038 | 2020-05-05 |
| 1689207946 | Cassi N Fiscus | Nurse Practitioner | 520 S 7th St, Vincennes, IN 47591-1038 | 2020-02-14 |
| Find all providers in VINCENNES | ||||
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| 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.