KANEISHA BURRUS (NPI# 1124633029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124633029 |
| Entity Type | Individual |
| Full Name | KANEISHA BURRUS |
| Practice Address |
10853 Mistflower Way Indianapolis IN 46235-3563 |
| Practice Telephone | 3174061299 |
| Mailing Telephone | 3174061299 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
20014891 | IN | Nursing Service Related Providers |
| Street Address |
10853 MISTFLOWER WAY |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46235-3563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598313769 | Patricia Woodfaulk | Student in an Organized Health Care Education/Training Program | 4660 Birmingham Drive, Indianapolis, IN 46235 | 2019-08-30 |
| 1447743794 | Pamela Zirkle | Counselor | 4126 E. 10th St., Indianapolis, IN 46235 | 2018-06-12 |
| 1619467560 | Ronkisha L Russell | Behavior Technician | 9905 Fallcreek Rd, Indianapolis, IN 46235 | 2018-05-16 |
| 1386134690 | Kaitlin Abigail Waltz | Behavior Technician | 9905 Fall Creek Rd., Indianapolis, IN 46235 | 2018-05-11 |
| 1386132546 | Alexis Halpen | Behavior Technician | Damar Aba, 9905 Fall Creek Rd, Indianapolis, IN 46235 | 2018-04-24 |
| 1881712719 | Georgia Marie Brooks | Registered Nurse | 4065 Congaree Drive, Indianapolis, IN 46235 | 2007-03-27 |
| 1417042003 | The Health and Hospital Corporation of Marion County | Pharmacy | 9443 E 38th St, Indianapolis, IN 46235 | 2006-10-03 |
| 1366869828 | Mark M. Jamerson | Counselor | 9612 English Oak Dr, Indianapolis, IN 46235-1100 | 2014-03-23 |
| 1679981476 | Sylvester Carr Jr. | Counselor | 9443 Pepperidge Dr, Indianapolis, IN 46235-1162 | 2014-07-25 |
| 1366067159 | Amdaway Ibrahim | Counselor | 4013 Baker Dr, Indianapolis, IN 46235-1573 | 2020-06-08 |
| Find all providers in zip 46235 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117531 | Kierra Shanae Sherron | Technician | 11569 Short Iron Ln, Indianapolis, IN 46235-9101 | 2020-05-28 |
| 1386293611 | Clara Banks | Technician | 1907 Pro Am Pl, Indianapolis, IN 46229-4322 | 2019-09-09 |
| 1457900375 | Kara Combs | Technician | 8737 Winding Ridge Rd, Indianapolis, IN 46217 | 2019-09-04 |
| 1710485073 | Venetrea Lawanda Grant | Technician | 9165 Otis Ave Ste 222, Indianapolis, IN 46216-2316 | 2018-01-31 |
| 1992219521 | Jeparis Johnson | Technician | 10411 N College Ave, Indianapolis, IN 46280-1436 | 2017-11-17 |
| 1114124740 | Marsha Johnson | Technician | 7461 Mallard Ct Apt A, Indianapolis, IN 46260-5221 | 2007-06-28 |
| 1932554094 | Cathy Bullock | Technician | 2021 E 52nd St, Indianapolis, IN 46205-1486 | 2016-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182976 | Barbara S Link | Technician | 5154 St Rd.60 1, Pekin, IN 47165 | 2020-07-23 |
| 1659916260 | Virginia Kay St. John | Technician | 961 Deer Field Court, Greencastle, IN 46135 | 2019-11-07 |
| 1861033755 | Lisa G Sturm | Technician | 7420 Lauren Dr, Evansville, IN 47725-7377 | 2019-10-02 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1538710538 | Janet A Slaughter | Technician | 4022 Tanglewood Drive, Floyds Knobs, IN 47119 | 2019-09-23 |
| 1437709516 | Andrea Wiseman | Technician | 3616 N County Road 850 E, Otwell, IN 47564-8990 | 2019-09-19 |
| 1093365355 | Susan Hathaway | Technician | 3783 West 800 South, Portland, IN 47371 | 2019-09-18 |
| 1447800347 | Jennifer Owens | Technician | 1429 Durham Ct, Winona Lake, IN 46590 | 2019-09-13 |
| 1689223620 | Kathy Jane Warren | Technician | 1277 Russell Rd, Chandler, IN 47610-9692 | 2019-09-11 |
| 1437708021 | Teri Reed | Technician | 27420 Centennial Drive, Elkhart, IN 46514-9732 | 2019-09-06 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46235 |
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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.