KELLY B O'SHAUGHNESSEY (NPI# 1720531734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720531734 |
| Entity Type | Individual |
| Full Name | KELLY B O'SHAUGHNESSEY |
| Credential | NP |
| Practice Address |
530 W 49th St Indianapolis IN 46208-3480 |
| Practice Telephone | 3179409385 |
| Practice Fax Number | 3179406403 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
71006481A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
530 W 49TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46208-3480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982688024 | Maria Valena Fletcher | Family Medicine | 530 W 49th St, Indianapolis, IN 46208-3480 | 2005-12-02 |
| 1447499157 | Butler University | Family Medicine | 530 W 49th St, Indianapolis, IN 46208-3480 | 2009-02-19 |
| 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 | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891271466 | Hilton Health Housecall LLC | Nurse Practitioner | 4340 Trace Wood Dr, Indianapolis, IN 46254-6238 | 2018-07-17 |
| 1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
| 1538797212 | Keegan M. Hall | Nurse Practitioner | 1050 Wishard Blvd, Indianapolis, IN 46202-2872 | 2020-03-30 |
| 1013473297 | Patricia Justine Irvin | Nurse Practitioner | 2920 N Arlington Ave, Indianapolis, IN 46218-3361 | 2019-02-13 |
| 1518449297 | Victoria Crawford | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2018-08-30 |
| 1831682095 | Marcia M Jefferson | Nurse Practitioner | 6612 E 75th St, Indianapolis, IN 46250-2875 | 2018-06-12 |
| 1326539966 | Wendy Shokes | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2018-05-18 |
| 1700375243 | Terri Girt | Nurse Practitioner | 7007 Graham Rd, Indianapolis, IN 46220-4063 | 2018-05-09 |
| 1851895387 | Jessica Birge | Nurse Practitioner | 6401 E Washington St, Indianapolis, IN 46219 | 2018-03-20 |
| 1154830529 | Jeni Sylese Grundy | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2017-09-28 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46208 |
Please comment or provide details below to improve the information on KELLY B O'SHAUGHNESSEY.
| 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.