MRS. KRISTY MARIE SHENE (NPI# 1700415213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700415213 |
| Entity Type | Individual |
| Full Name | MRS. KRISTY MARIE SHENE |
| Credential | CAPRC 1 |
| Practice Address |
3351 N Meridian St Ste 110 Indianapolis IN 46208-4674 |
| Practice Telephone | 3179640450 |
| Practice Fax Number | 3179640452 |
| Mailing Telephone | 3179640450 |
| Mailing Fax Number | 3179640452 |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | IN | Other Service Providers |
| Street Address |
3351 N MERIDIAN ST STE 110 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46208-4674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356812317 | Dove Recovery House for Women | Voluntary or Charitable | 3351 N Meridian St Ste 110, Indianapolis, IN 46208-4674 | 2018-12-16 |
| 1598394108 | Sarah E Hoyt | Peer Specialist | 3351 N Meridian St Ste 110, Indianapolis, IN 46208-4674 | 2020-04-06 |
| 1225668262 | Celli Dawn Dugger | Counselor | 3351 N Meridian St Ste 110, Indianapolis, IN 46208-4674 | 2020-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650924 | Kristine M Sullivan | Dietitian, Registered | 2700 Doctor M.l.k. Jr St., Indianapolis, IN 46208 | 2017-03-13 |
| 1760877591 | Michael A. Davis, D.d.s. Family Dental LLC | Dentist | 3737 N. Meridian Ste. 410, Indianapolis, IN 46208 | 2015-03-30 |
| 1831432574 | Curtis Stennett | Psychiatry & Neurology | 563 W Westfield Blvd, Indianapolis, IN 46208 | 2013-04-01 |
| 1417206392 | Planned Parenthood of Indiana Midtown | Clinic/Center | 3750 N. Meridian St., Suite 100, Indianapolis, IN 46208 | 2012-09-06 |
| 1629216932 | Mary Carol Calloway Follman | Occupational Therapist | 5502 N. Kenwood Ave., Indianapolis, IN 46208 | 2009-01-23 |
| 1871760751 | Jacob Odell Roberts | Chiropractor | 2413 N Meridian St, Indianapolis, IN 46208 | 2008-05-10 |
| 1285846360 | Midwest Residential Services, Inc. | Preferred Provider Organization | 2425 N. Meridian Street, Suite B, Indianapolis, IN 46208 | 2007-05-03 |
| 1881814879 | Cheryl Ann Moore | Social Worker | 3171 N. Meridian Street, Indianapolis, IN 46208 | 2007-05-01 |
| 1679612881 | Kenneth Ackles Sr. | Chiropractor | 3231 North Meridian Street, Suite 502, Indianapolis, IN 46208 | 2007-02-05 |
| 1013062918 | William D. Alexy | Psychologist | 6110 N. Meridian, W.dr, Indianapolis, IN 46208 | 2007-01-24 |
| Find all providers in zip 46208 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637149 | Richard Wyatt Sampson | Peer Specialist | 7941 Castleway Dr, Indianapolis, IN 46250-1953 | 2020-04-08 |
| 1598394108 | Sarah E Hoyt | Peer Specialist | 3351 N Meridian St Ste 110, Indianapolis, IN 46208-4674 | 2020-04-06 |
| 1811389182 | Anna Edens-szeszycki | Peer Specialist | 2105 N Meridian St, Suite 102, Indianapolis, IN 46202-1491 | 2015-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879158 | Laura Kiefer | Peer Specialist | 2629 Marcy Ln, Fort Wayne, IN 46806-2591 | 2020-07-29 |
| 1619538949 | Brialle Walker | Peer Specialist | 941 Becker St, Hammond, IN 46320-2110 | 2019-06-26 |
| 1114425907 | Jenniffer J Friskney | Peer Specialist | 680 W Parkway Dr, Pleasant Lake, IN 46779-9513 | 2018-01-25 |
| 1457717183 | Renee Ivy | Peer Specialist | 7060 Madison St, Merrillville, IN 46410-3452 | 2016-01-11 |
| 1093186181 | Nancy Paschal | Peer Specialist | 17707 Auburn Rd, Huntertown, IN 46748-9760 | 2015-10-14 |
| 1265049845 | Rebecca Soboleski | Peer Specialist | 4747 W 24th Ave, Gary, IN 46406-2821 | 2020-09-28 |
| 1003445420 | Amber Wehle | Peer Specialist | 521 E 86th Ave Ste H, Merrillville, IN 46410-6236 | 2020-04-07 |
| 1467912345 | Tiffany Richardson | Peer Specialist | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-03-25 |
| City | INDIANAPOLIS |
| Zip Code | 46208 |
Please comment or provide details below to improve the information on MRS. KRISTY MARIE SHENE.
| 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.