MEREDITH SUSANNE KELLY (NPI# 1295200574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295200574 |
| Entity Type | Individual |
| Full Name | MEREDITH SUSANNE KELLY |
| Practice Address |
5256 E 65th St Indianapolis IN 46220-4819 |
| Mailing Address |
8954 Glass Chimney Ln Fishers IN 46037-9438 |
| Practice Telephone | 3174290120 |
| Practice Fax Number | 8662025499 |
| Mailing Telephone | 3175010641 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2019-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
71008472A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
71008472A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558836254 | Meredith Kelly | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2018-10-09 |
| 1770063083 | Meredith Kelly | Physical Therapist | 2808 Mclamb Pl, Goldsboro, NC 27534-1600 | 2018-08-16 |
| 1114457488 | Meredith Jill Kelly | Nurse Practitioner | 605 Sierra Rose Dr Ste 4, Reno, NV 89511-2093 | 2017-06-19 |
| 1386962249 | Meredith Elliott Kelly | Internal Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2010-05-17 |
| 1346400991 | Meredith Ann Kelly | Psychiatry & Neurology | 1051 Riverside Drive, New York, NY 10034-1007 | 2008-06-16 |
| Street Address |
5256 E 65TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46220-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215908538 | Tammy Michelle Crace Browning | Physician Assistant | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2006-01-27 |
| 1629536297 | Jacqueline Sue Muncy | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2019-03-03 |
| 1518449297 | Victoria Crawford | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2018-08-30 |
| 1326539966 | Wendy Shokes | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2018-05-18 |
| 1124556493 | Teresa Ann Mcgrath | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2017-05-31 |
| 1255878278 | Emily Tedrow | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2017-01-28 |
| 1548596372 | Grace Divine, LLC | Family Medicine | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2009-10-29 |
| 1881820249 | Olivia Helitha Cronin | Family Medicine | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2009-05-29 |
| 1124252903 | Erin Michelle Garrett | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2009-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255168 | Know The Drill, LLC | Dentist | 6284 Rucker Road, Suite G, Indianapolis, IN 46220 | 2020-01-29 |
| 1902361017 | Stephanie Jean Tellus | Physical Therapist | 5620 Carvel Ave, Indianapolis, IN 46220 | 2019-02-02 |
| 1861972879 | Ashley M Pondexter | Counselor | 820 E 64th St, Indianapolis, IN 46220 | 2018-08-19 |
| 1649766403 | Amy Yonan | Social Worker | 3830 Rue Delacroix, Indianapolis, IN 46220 | 2018-07-05 |
| 1295226066 | Royal Comfort Home Care | In Home Supportive Care | 2804 55th Pl Ste K, Indianapolis, IN 46220 | 2018-05-28 |
| 1104322148 | Jessica Lynn Neidlinger | Counselor | 819 E 64th St Ste 220, Indianapolis, IN 46220 | 2018-03-30 |
| 1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1346762283 | Nicole Shields | Specialist/Technologist | 6020 Carvel Ave, 1234 Unit, Indianapolis, IN 46220 | 2017-07-12 |
| 1972033389 | Laurie Budlong-morse | Marriage & Family Therapist | 815 E 63rd Pl Ste 204, Indianapolis, IN 46220 | 2017-06-18 |
| Find all providers in zip 46220 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891271466 | Hilton Health Housecall LLC | Nurse Practitioner | 4340 Trace Wood Dr, Indianapolis, IN 46254-6238 | 2018-07-17 |
| 1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
| 1538797212 | Keegan M. Hall | Nurse Practitioner | 1050 Wishard Blvd, Indianapolis, IN 46202-2872 | 2020-03-30 |
| 1013473297 | Patricia Justine Irvin | Nurse Practitioner | 2920 N Arlington Ave, Indianapolis, IN 46218-3361 | 2019-02-13 |
| 1518449297 | Victoria Crawford | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2018-08-30 |
| 1831682095 | Marcia M Jefferson | Nurse Practitioner | 6612 E 75th St, Indianapolis, IN 46250-2875 | 2018-06-12 |
| 1326539966 | Wendy Shokes | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2018-05-18 |
| 1700375243 | Terri Girt | Nurse Practitioner | 7007 Graham Rd, Indianapolis, IN 46220-4063 | 2018-05-09 |
| 1851895387 | Jessica Birge | Nurse Practitioner | 6401 E Washington St, Indianapolis, IN 46219 | 2018-03-20 |
| 1154830529 | Jeni Sylese Grundy | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2017-09-28 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46220 |
Please comment or provide details below to improve the information on MEREDITH SUSANNE KELLY.
| 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.