KELLI JOY BOVENKERK (NPI# 1285184481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285184481 |
| Entity Type | Individual |
| Full Name | KELLI JOY BOVENKERK |
| Other Name | KELLI JOY SENSMEIER |
| Credential | NP |
| Practice Address |
3834 S Emerson Ave Building C, Suite 100 Indianapolis IN 46203 |
| Mailing Address |
Po Box 3299 Carson City NV 89702-3299 |
| Practice Telephone | 7752220044 |
| Practice Fax Number | 8887000187 |
| Mailing Telephone | 3177821577 |
| Mailing Fax Number | 3177805538 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
71006606A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201398720 | 05 |
| Street Address |
3834 S EMERSON AVE BUILDING C, SUITE 100 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245229327 | Patrice R Yates | Internal Medicine | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46237 | 2005-10-20 |
| 1548776925 | Erin Tofani | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2017-12-20 |
| 1114464575 | Abigail G Boris | Registered Nurse | 3834 S Emerson Ave, Bldg C Ste 100, Indianapolis, IN 46203 | 2017-01-24 |
| 1346626876 | Thomas Edwin Puckett Jr. | Nurse Practitioner | 3834 S Emerson Ave, Bldg C Ste 100, Indianapolis, IN 46203 | 2015-08-06 |
| 1083915581 | Bridget A. Witsken | Registered Nurse | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2010-11-15 |
| 1588818587 | Kayla Lyn Hagerty | Registered Nurse | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2008-11-05 |
| 1841225091 | Advanced Healthcare Associates LLP | Internal Medicine | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2006-07-12 |
| 1780625731 | Leo Solito | Internal Medicine | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2006-06-09 |
| 1912953654 | Ann P Arno | Family Medicine | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2006-05-25 |
| 1821043977 | Isd Renal Inc | Clinic/Center | 3834 S Emerson Ave, Bldg B, Indianapolis, IN 46203-5902 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194362665 | Yvonne Irene Wince | Pharmacist | 608 Twin Aire Dr, Indianapolis, IN 46203 | 2019-12-04 |
| 1730635681 | Kensie Waller | Registered Nurse | 3834 S. Emerson Ave, Bldg C, Ste 100, Indianapolis, IN 46203 | 2016-08-31 |
| 1629285820 | 21st Century Charter School At Fountain Square | Local Education Agency (LEA) | 1615 South Barth Ave, Indianapolis, IN 46203 | 2007-05-17 |
| 1912124918 | Richard Walter James | Chiropractor | 3850 S Emerson, Suite F, Indianapolis, IN 46203 | 2007-04-19 |
| 1245386655 | Gary Richard Billingsley | Chiropractor | 4940 S Emerson Ave, Indianapolis, IN 46203 | 2007-01-26 |
| 1952452815 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2630 S Keystone Ave, Indianapolis, IN 46203 | 2007-01-16 |
| 1245324755 | Rtc Resource Acq Corp | Residential Treatment Facility, Emotionally Disturbed Children | 1404 South State Avenue, Indianapolis, IN 46203 | 2006-10-02 |
| 1003115957 | Emerson Physical Medicine Inc | Physical Medicine & Rehabilitation | 4625 S Emerson Ave, Indianapolis, IN 46203 | 2011-03-17 |
| 1609921758 | Joan Legree Shemwell | Specialist | 3834 S Emerson Ave Ste 100, Indianapolis, IN 46203 | 2007-01-25 |
| 1659467256 | Options Treatment Acquisition Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1404 South State Avenue, Indianapolis, IN 46203 | 2006-10-04 |
| Find all providers in zip 46203 | ||||
| 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 | 46203 |
Please comment or provide details below to improve the information on KELLI JOY BOVENKERK.
| 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.