JEANETTE P JEFFERIS (NPI# 1851342190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851342190 |
| Entity Type | Individual |
| Full Name | JEANETTE P JEFFERIS |
| Credential | NP |
| Practice Address |
1050 Wishard Blvd 4th Fl Indianapolis IN 46202-2872 |
| Mailing Address |
8910 Purdue Rd Suite 500 Indianapolis IN 46268-3161 |
| Practice Telephone | 3176307979 |
| Mailing Telephone | 3178718811 |
| Mailing Fax Number | 3178718833 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2012-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71000204A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
71000204A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200173570 | 05 |
| Street Address |
1050 WISHARD BLVD 4TH FL |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-2872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932195732 | Cristina Simona Ivan | Psychiatry & Neurology | 1050 Wishard Blvd, Rg 6th Floor, Indianapolis, IN 46202-2872 | 2005-09-27 |
| 1538797212 | Keegan M. Hall | Nurse Practitioner | 1050 Wishard Blvd, Indianapolis, IN 46202-2872 | 2020-03-30 |
| 1013205467 | Kashyap D. Patel | Dentist | 1050 Wishard Blvd, Indianapolis, IN 46202-2872 | 2011-07-19 |
| 1013227313 | Laura M Potter | Case Manager/Care Coordinator | 1050 Wishard Blvd, Indianapolis, IN 46202-2872 | 2010-10-20 |
| 1124331087 | Heather Dost | Dentist | 1050 Wishard Blvd, Indianapolis, IN 46202-2872 | 2010-07-21 |
| 1518286145 | Dan-linh Ha | Dentist | 1050 Wishard Blvd, Rg 4201, Indianapolis, IN 46202-2872 | 2010-05-21 |
| 1730322892 | Smitha Marri | Internal Medicine | 1050 Wishard Blvd, Suite Rg 4100, Indianapolis, IN 46202-2872 | 2009-04-19 |
| 1396908224 | Michael Saumur | Student in an Organized Health Care Education/Training Program | 1050 Wishard Blvd, Rg 4201, Indianapolis, IN 46202-2872 | 2008-07-10 |
| 1396908422 | Jan Slapnicka | Dentist | 1050 Wishard Blvd, Rg 4201, Indianapolis, IN 46202-2872 | 2008-07-09 |
| 1578726618 | Hemjeet Bedi | Student in an Organized Health Care Education/Training Program | 1050 Wishard Blvd, Rg 4201, Indianapolis, IN 46202-2872 | 2008-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200152 | Positive Energy Health Center LLC | Nurse Practitioner | 5023 E 56th St Ste 130, Indianapolis, IN 46226-1471 | 2020-09-21 |
| 1518591023 | Nikki Maxey | Nurse Practitioner | 9302 N Meridian St Ste 235, Indianapolis, IN 46260-1337 | 2020-02-24 |
| 1639701584 | Bindu Neupane Wagle | Nurse Practitioner | 1701 N Senate Ave # Ago69, Indianapolis, IN 46202-5306 | 2020-02-09 |
| 1649810912 | Ashley Nicole Bilen | Nurse Practitioner | 8427 Coppel Ln, Indianapolis, IN 46259-1469 | 2020-01-14 |
| 1164063202 | Katlyn Rader | Nurse Practitioner | 8333 Naab Rd Ste 420, Indianapolis, IN 46260-1992 | 2019-09-30 |
| 1609423680 | Kari Tucker | Nurse Practitioner | 8435 Keystone Xing Ste 108, Indianapolis, IN 46240-4373 | 2019-08-23 |
| 1598320566 | The Health and Hospital Corporation of Marion County | Nurse Practitioner | 9165 Otis Ave Ste 112, Indianapolis, IN 46216-2311 | 2019-05-06 |
| 1841855897 | The Health and Hospital Corporation of Marion County | Nurse Practitioner | 6920 Parkdale Pl Ste 107, Indianapolis, IN 46254-5604 | 2019-05-06 |
| 1073178059 | The Health and Hospital Corporation of Marion County | Nurse Practitioner | 2506 Willowbrook Pkwy Ste 299, Indianapolis, IN 46205-1548 | 2019-05-06 |
| 1215406699 | Michele Dawn Cambridge | Nurse Practitioner | 7007 Graham Rd Ste 215, Indianapolis, IN 46220-4063 | 2018-11-15 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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| 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.