MRS. KELLY ERIN SUCHAR (NPI# 1831733252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831733252 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ERIN SUCHAR |
| Other Name | KELLY ERIN GRAY |
| Credential | AGPCNP |
| Practice Address |
2100 N Main St Ste 304 Crown Point IN 46307-1877 |
| Mailing Address |
Po Box 10299 Fort Wayne IN 46851-0299 |
| Practice Telephone | 5745461900 |
| Practice Fax Number | 5745461999 |
| Mailing Telephone | 5745461900 |
| Mailing Fax Number | 5745461999 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
28201241A | IN | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
71009626A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
2801241A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1919 E 52nd St Ste 200, Indianapolis, IN 462051381 | 3174290120 |
| Street Address |
2100 N MAIN ST STE 304 |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-1877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154308575 | Steven L Posar | Internal Medicine | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2005-12-28 |
| 1811596596 | Maureen R Reel | Social Worker | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2020-10-22 |
| 1528666484 | Debra L. Klich | Psychologist | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2020-10-13 |
| 1710584834 | Mya Yee Nandar | Nurse Practitioner | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2020-10-01 |
| 1437763018 | Lee Thomas Penn | Psychologist | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2020-09-01 |
| 1568075836 | Katherine Ann Frazier | Social Worker | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2020-08-26 |
| 1407474257 | William Lawrence Heard | Psychologist | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2020-07-08 |
| 1144853664 | Michelle Marie Schierberg | Nurse Practitioner | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2020-02-13 |
| 1417589292 | Whittney Thompson | Nurse Practitioner | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2020-02-10 |
| 1295385565 | Barry Larson Parker | Social Worker | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2019-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144853664 | Michelle Marie Schierberg | Nurse Practitioner | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2020-02-13 |
| 1801456165 | Mary Teresa Folk | Nurse Practitioner | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2019-06-19 |
| 1699293340 | Lindsey Gilkey | Nurse Practitioner | 2100 N Main St Ste 304, Crown Point, IN 46307-1877 | 2017-09-01 |
| 1801345145 | Vicki Denise Seber | Nurse Practitioner | 213 S Court St, Suite B, Crown Point, IN 46307-3990 | 2016-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567249 | Sarah E Munson | Nurse Practitioner | 1633 N Capitol Ave Ste 680, Indianapolis, IN 46202-1281 | 2020-08-06 |
| 1598327009 | Jack Chitenje | Nurse Practitioner | 13914 Boulder Canyon Dr, Fishers, IN 46038-5361 | 2019-07-03 |
| 1750844890 | Sarah Kathleen Cherry | Nurse Practitioner | 4326 Maldenhair Dr, Indianapolis, IN 46239-9033 | 2019-04-06 |
| 1861966533 | Ethan Jevon Merkel | Nurse Practitioner | 721 W 13th St Ste 221, Jasper, IN 47546-1817 | 2019-01-16 |
| 1184103459 | Katherine Rose Ahaus | Nurse Practitioner | 1801 Senate Blvd Ste 230, Indianapolis, IN 46202-1252 | 2018-08-08 |
| 1205342235 | Outpatient Integrated Strategies, LLC | Nurse Practitioner | 12315 Hancock St Ste 24, Carmel, IN 46032-5885 | 2017-12-28 |
| 1508389990 | Healthy Body LLC | Nurse Practitioner | 2515 Ladue Ln, Fort Wayne, IN 46804-2796 | 2017-07-18 |
| 1821539818 | Heather Hedgepeth | Nurse Practitioner | 1850 State St Fl 1, New Albany, IN 47150-4990 | 2017-03-10 |
| 1386197770 | Masita Isabel Poray | Nurse Practitioner | 5435 E 16th St Ste 500, Indianapolis, IN 46218-4869 | 2016-08-02 |
| 1578978011 | Ta'mella Ferron | Nurse Practitioner | 7143 Morello Ln, Noblesville, IN 46062-8438 | 2014-06-24 |
| Find all providers with the same taxonomy | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
Please comment or provide details below to improve the information on MRS. KELLY ERIN SUCHAR.
| 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.