KATHLEEN A. GANNON (NPI# 1952818809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952818809 |
| Entity Type | Individual |
| Full Name | KATHLEEN A. GANNON |
| Practice Address |
8501 Harcourt Rd Indianapolis IN 46260 |
| Mailing Address |
8501 Harcourt Rd Indianapolis IN 46260-2046 |
| Practice Telephone | 3178759105 |
| Practice Fax Number | 3178088802 |
| Mailing Telephone | 3178759105 |
| Enumeration Date | 2018-01-01 |
| Last Update Date | 2018-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71007340A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
71007340A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8435 Keystone Xing Ste 210, Indianapolis, IN 462404357 | 3174676880 | 3179911331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163525 | Kathleen Rose Gannon | Counselor | 900 Cummings Ctr Ste 324-s, Beverly, MA 01915-6198 | 2018-11-23 |
| 1972530186 | Kathleen Ryan Gannon | Physical Therapist | 500 Chase Pkwy, Waterbury, CT 06708-3346 | 2006-06-26 |
| 1922066331 | Kathleen Rita Gannon | Internal Medicine | 1810 Sw White Birch Circle, Ste 111, Ankeny, IA 50023-7226 | 2006-05-03 |
| Street Address |
8501 HARCOURT RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235129909 | Megan Lynn Chojnacki | Physician Assistant | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2005-10-25 |
| 1497381230 | Hailey Paulson | Nurse Practitioner | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2020-03-12 |
| 1861031833 | Harrison Phillip Meyers | Occupational Therapist | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2019-12-23 |
| 1225512494 | Jonathan S Stewart | Occupational Therapist | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2018-09-24 |
| 1790226678 | Caitlin Kent | Occupational Therapist | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2017-03-13 |
| 1780047662 | Jessica Fischer | Occupational Therapist | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2016-03-30 |
| 1427433705 | Deana Botkin | Occupational Therapist | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2015-07-28 |
| 1043605363 | Ryan E Harold | Orthopaedic Surgery | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2015-04-02 |
| 1851781835 | Jessie Salley | Occupational Therapist | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2015-01-29 |
| 1164822730 | Sarah Elizabeth Mart | Occupational Therapist | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2014-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| 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 | 46260 |
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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.