JESSICA SHAHDA


Address: 7120 Clearvista Dr, Suite 2100, Indianapolis, IN 46256-0020
Phone: 3176215676

JESSICA SHAHDA (NPI# 1972970564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972970564
Entity Type Individual
Full Name JESSICA SHAHDA
Practice Address 7120 Clearvista Dr
Suite 2100
Indianapolis
IN 46256-0020
Mailing Address 6626 E 75th St
Suite 500
Indianapolis
IN 46250-2890
Practice Telephone 3176215676
Enumeration Date 2015-08-31
Last Update Date 2016-07-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
71005654A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 201315670 05
IN MEDICARE RAILROAD PTAN P01588254 01

Office Location

Street Address 7120 CLEARVISTA DR
SUITE 2100
City INDIANAPOLIS
State IN
Zip Code 46256-0020

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225032725 George Elias Internal Medicine 7120 Clearvista Dr, Ste 2100, Indianapolis, IN 46256-1621 2005-06-13
1649722190 Walgreen Co Durable Medical Equipment & Medical Supplies 7120 Clearvista Dr, Ste 1900, Indianapolis, IN 46256-1569 2016-11-01
1316492606 Melissa Gill Social Worker 7120 Clearvista Dr, Ste 5900, Indianapolis, IN 46256-1621 2016-08-17
1205380946 Wendy Terrell Nurse Practitioner 7120 Clearvista Dr, Ste 4000, Indianapolis, IN 46256-1621 2016-08-11
1073992293 Charity Hampton Registered Nurse 7120 Clearvista Dr, Suite 2100, Indianapolis, IN 46256-0020 2015-05-20
1932587284 Sara Bohan Physician Assistant 7120 Clearvista Dr, Suite 2100, Indianapolis, IN 46256-0020 2015-05-07
1669859641 Megan Ashley Willis Physician Assistant 7120 Clearvista Dr, Suite 2100, Indianapolis, IN 46256-0020 2015-04-29
1588058614 Adrianne Echelbarger Registered Nurse 7120 Clearvista Dr, Suite 2100, Indianapolis, IN 46256-1621 2015-03-26
1750780037 Alison K Green Physician Assistant 7120 Clearvista Dr, Suite 2100, Indianapolis, IN 46256-1621 2014-08-22
1700294253 Daniel Euler Physician Assistant 7120 Clearvista Dr, Suite 2100, Indianapolis, IN 46256-1621 2014-07-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790316859 Jacob R Weeks Behavior Technician 9769 Crosspointed Blvd, Fishers, IN 46256 2020-01-28
1780236620 Amare Hospice & Palliative Care Family Medicine 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 2019-07-11
1588226864 Accutreat LLC Clinical Medical Laboratory 9661 Crosspoint Blvd, Indianapolis, IN 46256 2019-07-08
1447732557 Kathleen O'hara Marriage & Family Therapist 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 2018-09-05
1205313608 Healing Bridges Counseling, LLC Marriage & Family Therapist 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 2018-07-27
1477062123 Rosalee Ann Miller Social Worker 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 2017-09-26
1760900039 Amye Litherland Registered Nurse 7525 E. 82nd St Ste A, Indianapolis, IN 46256 2017-09-06
1275074239 Jason Dempsey Hearing Instrument Specialist 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 2017-03-10
1578922761 Fresenius Medical Care Indiana, LLC Clinic/Center 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 2016-02-16
1477925071 Samantha Kitcoff Physician Assistant 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 2015-10-22
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417567249 Sarah E Munson Nurse Practitioner 1633 N Capitol Ave Ste 680, Indianapolis, IN 46202-1281 2020-08-06
1750844890 Sarah Kathleen Cherry Nurse Practitioner 4326 Maldenhair Dr, Indianapolis, IN 46239-9033 2019-04-06
1184103459 Katherine Rose Ahaus Nurse Practitioner 1801 Senate Blvd Ste 230, Indianapolis, IN 46202-1252 2018-08-08
1386197770 Masita Isabel Poray Nurse Practitioner 5435 E 16th St Ste 500, Indianapolis, IN 46218-4869 2016-08-02
1316370612 Paradigm Living Concepts, LLC Nurse Practitioner 8904 Bash St Ste B, Indianapolis, IN 46256-1286 2013-08-10
1902414709 Michelle Nicole Gibson Nurse Practitioner 1801 N Senate Blvd, Indianapolis, IN 46202-1228 2020-07-17
1467081455 Sarah Elizabeth Wheeler Nurse Practitioner 1801 N Senate Blvd Ste 635, Indianapolis, IN 46202-1212 2020-04-02
1154965531 Monica Deryckere Nurse Practitioner 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 2019-10-29
1699318592 Marcy Penrod Nurse Practitioner 8333 Naab Rd, Indianapolis, IN 46260-5924 2019-10-23
1124677000 Amanda Marie Mccoy Ignaut Nurse Practitioner 1402 E County Line Rd, Indianapolis, IN 46227-0963 2019-09-04
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Competitor

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City INDIANAPOLIS
Zip Code 46256

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Dataset Information

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.

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