KELLY L WARREN


Address: 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693
Phone: 3176218500

KELLY L WARREN (NPI# 1326480948) 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) 1326480948
Entity Type Individual
Full Name KELLY L WARREN
Credential NURSE PRACTITIONER
Practice Address 8075 N Shadeland Ave
Suite 200
Indianapolis
IN 46250-2693
Mailing Address 6626 E 75th St
Suite 500
Indianapolis
IN 46250-2805
Practice Telephone 3176218500
Practice Fax Number 3176218501
Enumeration Date 2013-07-24
Last Update Date 2014-06-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 28177166A IN Nursing Service Providers
Y 363L00000X Nurse Practitioner 71004533A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN MEDICARE RR PTAN P01307616 01

Other Providers KELLY WARREN

NPI Name Taxonomy Address Enumeration
1104235233 Kelly Goodpaster Warren Dentist 535 Wellington Way Ste 120, Lexington, KY 40503-1387 2014-08-01
1760619639 Kelly C Warren Registered Nurse 2000 Mckenzie St, Fort Worth, TX 76105-3053 2009-06-17
1306801071 Kelly John Warren Dermatology 3920 Nw 49th St, Tamarac, FL 33309 2006-04-18
1760995450 Kelly J Warren Case Manager/Care Coordinator 413 W Tyler Ave, West Memphis, AR 72301-4149 2017-11-16
1538680335 Kelly Puz Warren Counselor 227 N Market St, Washington, NC 27889-4949 2017-06-30
1891105193 Kelly Warren Psychologist 2447 Pacific Coast Hwy Ste 213, Hermosa Beach, CA 90254-2714 2014-05-07
1164767398 Kelly H Warren Nurse Practitioner 10600 Industrial Dr, Minden, LA 71055-5105 2012-11-28
1396039657 Kelly Ann Warren Pharmacist 1285 Som Center Rd, T-1324, Mayfield Heights, OH 44124-2073 2011-06-04
1528378650 Kelly Warren Licensed Practical Nurse 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 2010-10-07
1093923856 Kelly Dawn Warren Social Worker 222 Tongass Dr, Sitka, AK 99835-9416 2007-05-17

Office Location

Street Address 8075 N SHADELAND AVE
SUITE 200
City INDIANAPOLIS
State IN
Zip Code 46250-2693

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922005289 Angela Kaye Unfried Physician Assistant 8075 N Shadeland Ave, Suite 120, Indianapolis, IN 46250-2693 2005-07-01
1780158352 Kay Ellen Simon Nurse Practitioner 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 2019-01-17
1831667823 Jaswinder Jalf Nurse Practitioner 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 2018-11-07
1588130108 Diane Marie Doty Clinical Nurse Specialist 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 2018-10-22
1457887622 Kelly Ann Lowe Registered Nurse 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 2017-05-10
1548713290 Lacey Keller Registered Nurse 8075 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2693 2016-07-29
1780025247 Community Health Network General Acute Care Hospital 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 2013-07-12
1780021758 Kendra Marie Storer Registered Nurse 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 2013-05-30
1356787493 Jennifer Ruth Heisick Nurse Practitioner 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 2013-05-16
1598018749 Nicole B Finkelmeier Physician Assistant 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 2012-10-24
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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 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1518591023 Nikki Maxey Nurse Practitioner 9302 N Meridian St Ste 235, Indianapolis, IN 46260-1337 2020-02-24
1639701584 Bindu Neupane Wagle Nurse Practitioner 1701 N Senate Ave # Ago69, Indianapolis, IN 46202-5306 2020-02-09
1649810912 Ashley Nicole Bilen Nurse Practitioner 8427 Coppel Ln, Indianapolis, IN 46259-1469 2020-01-14
1164063202 Katlyn Rader Nurse Practitioner 8333 Naab Rd Ste 420, Indianapolis, IN 46260-1992 2019-09-30
1609423680 Kari Tucker Nurse Practitioner 8435 Keystone Xing Ste 108, Indianapolis, IN 46240-4373 2019-08-23
1598320566 The Health and Hospital Corporation of Marion County Nurse Practitioner 9165 Otis Ave Ste 112, Indianapolis, IN 46216-2311 2019-05-06
1841855897 The Health and Hospital Corporation of Marion County Nurse Practitioner 6920 Parkdale Pl Ste 107, Indianapolis, IN 46254-5604 2019-05-06
1073178059 The Health and Hospital Corporation of Marion County Nurse Practitioner 2506 Willowbrook Pkwy Ste 299, Indianapolis, IN 46205-1548 2019-05-06
1215406699 Michele Dawn Cambridge Nurse Practitioner 7007 Graham Rd Ste 215, Indianapolis, IN 46220-4063 2018-11-15
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Competitor

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City INDIANAPOLIS
Zip Code 46250

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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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