LESLIE MICHELL PELL


Address: 1873 Kingeider Drive, West Lafayette, IN 47906
Phone: 4197059665

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).

Provider Overview

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

Taxonomy

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

Other Providers LESLIE PELL

NPI Name Taxonomy Address Enumeration
1346526795 Leslie J Pell Pharmacist 1112 Pineneedle Rd, Hartsville, SC 29550-8453 2011-10-31

Office Location

Street Address 1873 KINGEIDER DRIVE
City WEST LAFAYETTE
State IN
Zip Code 47906

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548875669 Brooke Lavignette Nurse Practitioner 1805 Summit Dr, West Lafayette, IN 47906-2231 2020-09-15

Providers in the same taxonomy and state

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
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Competitor

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City WEST LAFAYETTE
Zip Code 47906

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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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