MRS. SHANA KAYE CARMIN (NPI# 1760569065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760569065 |
| Entity Type | Individual |
| Full Name | MRS. SHANA KAYE CARMIN |
| Other Name | SHANA KAYE COLLINS |
| Credential | NP |
| Practice Address |
2116 S Park Ave Alexandria IN 46001-8048 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 7657244455 |
| Practice Fax Number | 7657246247 |
| Mailing Telephone | 7652985280 |
| Mailing Fax Number | 7657243386 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71002280A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
28133612A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE RR | P01157311 | 01 |
| IN | ANTHEM | 000000507640 | 01 |
| IN | 200846070B | 05 |
| Street Address |
2116 S PARK AVE |
| City | ALEXANDRIA |
| State | IN |
| Zip Code | 46001-8048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083668586 | Community Hospitals of Indiana Inc | Family Medicine | 2116 S Park Ave, Alexandria, IN 46001-8048 | 2006-05-19 |
| 1427497932 | Yochana R Gavva | Family Medicine | 2116 S Park Ave, Alexandria, IN 46001 | 2013-06-18 |
| 1770505091 | David E Haag | Family Medicine | 2116 S Park Ave, Alexandria, IN 46001-8048 | 2006-07-24 |
| 1689693889 | Troy A Abbott | Family Medicine | 2116 S Park Ave, Alexandria, IN 46001-8048 | 2006-07-19 |
| 1013933761 | Community Hospitals of Indiana | Family Medicine | 2116 S Park Ave, Alexandria, IN 46001-8048 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992293187 | Amber Marie Wisehart | Nurse Practitioner | 121 W Washington St, Alexandria, IN 46001 | 2018-04-24 |
| 1629504709 | Melissa Rex | Speech-Language Pathologist | 1912 S Park Ave, Alexandria, IN 46001 | 2017-05-10 |
| 1235201021 | J Chester Long II | Pharmacy | 1405 N Park Ave, Alexandria, IN 46001-1466 | 2006-11-15 |
| 1528256229 | My Urban Clinic, Inc | Clinic/Center | 1405 N Park Ave, Alexandria, IN 46001-1466 | 2007-10-09 |
| 1538530407 | Mitchel Yeagy | Specialist/Technologist | 305 N Edgeway Dr, Alexandria, IN 46001-1603 | 2015-10-16 |
| 1306039839 | Jessica Lee Cottrell | Licensed Practical Nurse | 604 W Broadway St, Alexandria, IN 46001-1721 | 2007-08-17 |
| 1982245239 | Drew Joseph Gleitsmann | Psychologist | 121 W Washington St, Alexandria, IN 46001-1809 | 2019-10-07 |
| 1619433513 | Meridian Health Services Corp | Clinic/Center | 101 N Harrison St, Alexandria, IN 46001-2017 | 2019-02-15 |
| 1821098005 | David C Steele | Dentist | 113 S Harrison St, Alexandria, IN 46001-2021 | 2005-07-28 |
| 1528540218 | Jfriedman - Alexandria LLC | Dentist | 113 S Harrison St, Alexandria, IN 46001-2021 | 2018-08-30 |
| Find all providers in zip 46001 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131435 | Nora H Elnahas | Nurse Practitioner | 5882 Wescott Hills Way, Alexandria, VA 22315-5636 | 2020-10-11 |
| 1376158600 | Margrek S. Dorsey | Nurse Practitioner | 1403 Metro Dr Bldg Suiteg-2, Alexandria, LA 71301-3454 | 2020-09-14 |
| 1639784432 | Nichole Varga | Nurse Practitioner | 8174 Bianca Pl, Alexandria, VA 22309-3761 | 2020-09-09 |
| 1831707488 | Khudsiatu Tucker | Nurse Practitioner | 1636 Belle View Boulevard, Alexandria, VA 22307 | 2020-07-20 |
| 1134747850 | Lindsey H. Welch | Nurse Practitioner | 3601 Jackson St, Alexandria, LA 71303-3002 | 2020-07-09 |
| 1376160762 | Brittany Ann Filliben | Nurse Practitioner | 6944 Ellingham Cir Unit D, Alexandria, VA 22315-6509 | 2020-07-01 |
| 1447876289 | Headache Clinic of Cenla | Nurse Practitioner | 4508 Coliseum Blvd Ste L, Alexandria, LA 71303-3564 | 2020-06-17 |
| 1912522061 | Andrea Mclure Waters | Nurse Practitioner | 3018 Jackson St Ste 100, Alexandria, LA 71301-4767 | 2020-06-15 |
| 1568082725 | Catherine Corcoran | Nurse Practitioner | 115 S Columbus St, Alexandria, VA 22314-5008 | 2020-04-17 |
| 1427677574 | April Bomi Kim | Nurse Practitioner | 50 S Pickett St Ste 114, Alexandria, VA 22304-7206 | 2020-04-09 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 46001 |
Please comment or provide details below to improve the information on MRS. SHANA KAYE CARMIN.
| 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.