LESLIE MICHELL PELL (NPI# 1699176800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699176800 |
Entity Type | Individual |
Full Name | LESLIE MICHELL PELL |
Other Name | LESLIE MICHELLE EARLE |
Credential | NP.RN.CNP, APRN,PMHN |
Practice Address |
1873 Kingeider Drive West Lafayette IN 47906 |
Practice Telephone | 4197059665 |
Practice Fax Number | 7654466547 |
Mailing Telephone | 4197059665 |
Mailing Fax Number | 7654466547 |
Enumeration Date | 2014-09-07 |
Last Update Date | 2020-07-30 |
NPI Deactivation Date | 02/22/2019 |
NPI Reactivation Date | 2019-03-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | RN.458718 | OH | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN.CNP.024210 | OH | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
71005112B | IN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
71005112A | IN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346526795 | Leslie J Pell | Pharmacist | 1112 Pineneedle Rd, Hartsville, SC 29550-8453 | 2011-10-31 |
Street Address |
1873 KINGEIDER DRIVE |
City | WEST LAFAYETTE |
State | IN |
Zip Code | 47906 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457990848 | Wickshire West Lafayette Opco LLC | Assisted Living Facility | 3575 Senior Place, West Lafayette, IN 47906 | 2020-01-02 |
1992290530 | Cameron Eldred | Specialist/Technologist | 3367 Edison Dr, West Lafayette, IN 47906 | 2018-06-26 |
1720593403 | Devin Kay Hall | Specialist/Technologist | 900 John R. Wooden Drive, West Lafayette, IN 47906 | 2017-12-04 |
1609398270 | Christian Floirendo | Specialist/Technologist | 2225 Willowbrook Dr, #207, West Lafayette, IN 47906 | 2017-07-14 |
1881007581 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2636 Us52 Sagamore Pkwy, West Lafayette, IN 47906 | 2014-06-10 |
1588089536 | Sarah Pierce | Pharmacist | 2636 Us 52, West Lafayette, IN 47906 | 2014-02-27 |
1811228240 | Angelica D. Kokkalis | Acupuncturist | 124 Westwood Dr., W. Lafayette, IN 47906 | 2010-01-25 |
1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
1871784330 | Sally A Timmons LLC | Social Worker | 120 Sagamore Parkway West, West Lafayette, IN 47906 | 2007-08-08 |
1770793150 | Volker Karl Thomas | Marriage & Family Therapist | 2512 Covington Street, West Lafayette, IN 47906 | 2007-05-23 |
Find all providers in zip 47906 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548875669 | Brooke Lavignette | Nurse Practitioner | 1805 Summit Dr, West Lafayette, IN 47906-2231 | 2020-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205444775 | Anu Abraham Ade Owofadeju | Nurse Practitioner | 8820 S Meridian St Ste 225, Indianapolis, IN 46217-6064 | 2020-07-21 |
1356959068 | Indy Behavioral Health LLC | Nurse Practitioner | 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069 | 2020-07-20 |
1942833306 | Osasumwen Igbinoba | Nurse Practitioner | 402 Wall St Ste 23, Valparaiso, IN 46383-2567 | 2020-02-13 |
1770114118 | Abbey Bolden | Nurse Practitioner | 929 Miller Ct, Greenfield, IN 46140-7267 | 2020-02-03 |
1376184556 | Carrie Mefford | Nurse Practitioner | 5435 E 16th St, Indianapolis, IN 46218-4869 | 2019-09-30 |
1700430006 | Lusine Vardanyan | Nurse Practitioner | Memorial Hospital and Health Care Center, 800 W 9th Street, Jasper, IN 47546-2514 | 2019-07-25 |
1134780851 | Eric Lyakhovetsky | Nurse Practitioner | 327 W Saidah Rd, Bloomington, IN 47404-8965 | 2019-06-24 |
1124599394 | Adria Dawn Thornburgh | Nurse Practitioner | 6235 Forest View Dr, Indianapolis, IN 46260-4707 | 2018-12-16 |
1033693213 | Katie Marie Feeney | Nurse Practitioner | Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 | 2018-09-24 |
1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
Find all providers with the same taxonomy |
City | WEST LAFAYETTE |
Zip Code | 47906 |
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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.