HOLLY M KIEDA


Address: 7979 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2042
Phone: 3176214300

HOLLY M KIEDA (NPI# 1013535129) 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) 1013535129
Entity Type Individual
Full Name HOLLY M KIEDA
Credential NP
Practice Address 7979 N Shadeland Ave Ste 200
Indianapolis
IN 46250-2042
Mailing Address 6626 E 75th St Ste 500
Indianapolis
IN 46250-2890
Practice Telephone 3176214300
Practice Fax Number 3176214301
Enumeration Date 2020-07-07
Last Update Date 2020-08-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
71010164A IN Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
71010164A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 300040813 05

Office Location

Street Address 7979 N SHADELAND AVE STE 200
City INDIANAPOLIS
State IN
Zip Code 46250-2042

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588724199 Bert H O'neil Internal Medicine 7979 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2042 2006-12-12
1750988606 Clair Elizabeth Seefeldt Nurse Practitioner 7979 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2042 2020-10-05
1427544261 Chelsea E Heege Nurse Practitioner 7979 N Shadeland Ave Ste 200, Indianapolis, IN 46250 2018-07-05
1518470046 Allison A Wendel Nurse Practitioner 7979 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2042 2017-11-07
1831631167 Melissa Mcduffee Nurse Practitioner 7979 N Shadeland Ave Ste 200, Indianapolis, IN 46250 2016-11-17
1538508965 Daniel W Sonnenburg Internal Medicine 7979 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2042 2013-06-19
1962799395 Lisa Marie White Registered Nurse 7979 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2042 2011-07-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861037004 Angela L Davis Pharmacist 8520 Bash St, Indianapolis, IN 46250 2019-11-12
1710455738 Physicians Wellness Associates LLC Family Medicine 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 2018-11-07
1891222584 Confidential Drug LLC Pharmacy 8520 Bash St Ste D, Indianapolis, IN 46250 2017-05-12
1659813590 Occupational Health Centers of The Southwest Pa Clinic/Center 8257 Center Run Rd, Indianapolis, IN 46250 2016-11-09
1194275669 Lucina Treatment Center, LLC Internal Medicine 8140 Castleton Rd, Indianapolis, IN 46250 2016-10-09
1609126150 Joseph Lee Deck Physical Therapist 7400 Jewel Lane, Indianapolis, IN 46250 2012-09-12
1447508254 Choices Coordinated Care Solutions, Inc. Clinic/Center 7941 Castleway Drive, Indianapolis, IN 46250 2012-08-28
1568719854 Lynda L. Blackwelder, LLC Marriage & Family Therapist 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 2012-08-06
1972859452 Courtney B. Cortez Nurse Practitioner 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 2012-08-02
1861761934 Kb Medical, Inc. Durable Medical Equipment & Medical Supplies 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 2011-12-20
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851852727 Carmen Lagaye Bogle Nurse Practitioner 1050 W 72nd St, Indianapolis, IN 46260-4037 2019-03-25
1861991176 Kimberly S Houchens Nurse Practitioner 135 N Pennsylvania St Ste 1610, Indianapolis, IN 46204-2448 2018-02-02
1356866834 Andrea Elaine Tennancour Nurse Practitioner My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 2017-08-07
1194259879 Bahtrena Rogers Nurse Practitioner 9302 Budd Run Dr, Indianapolis, IN 46250-1322 2017-04-19
1538512090 Martita Rolanda Meeks Nurse Practitioner 7240 Shadeland Sta Ste 300, Indianapolis, IN 46256-3944 2016-07-20
1194177022 Stephanie R Young Nurse Practitioner 8360 S Emerson Ave Ste 100, Indianapolis, IN 46237-8746 2016-07-03
1114394426 Tamara Sue Roberts Nurse Practitioner 7911 N Michigan Road, Indianapolis, IN 46268-1360 2015-08-24
1023426780 Lesli White Nurse Practitioner 1 Allison Way, Indianapolis, IN 46222-3271 2014-07-25
1386070274 Kimberly Demasie Nurse Practitioner 7520 E 88th Pl, Suite 101, Indianapolis, IN 46256-1253 2013-09-24
1669788204 Shannon L Childers-page Nurse Practitioner 1701 N Senate Blvd # A5231, Indianapolis, IN 46202-1239 2010-08-20
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Competitor

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City INDIANAPOLIS
Zip Code 46250

Improve Information

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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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