JESSICA SHAHDA (NPI# 1972970564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
71005654A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201315670 | 05 | |
IN | MEDICARE RAILROAD PTAN | P01588254 | 01 |
Street Address |
7120 CLEARVISTA DR SUITE 2100 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46256-0020 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 46256 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
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 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46256 |
Please comment or provide details below to improve the information on JESSICA SHAHDA.
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.