KATHRYN M GJELDUM (NPI# 1336165406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336165406 |
| Entity Type | Individual |
| Full Name | KATHRYN M GJELDUM |
| Credential | ANP |
| Practice Address |
8895 Broadway Merrillville IN 46410-7037 |
| Practice Telephone | 2197382081 |
| Practice Fax Number | 2197364658 |
| Mailing Telephone | 2197382081 |
| Mailing Fax Number | 2197364658 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2009-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71001746A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200805880 | 05 | |
| IN | ANTHEM BC/BS | 000000594185 | 01 |
| Street Address |
8895 BROADWAY |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-7037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356343578 | Ahmad Bassel Shughoury | Internal Medicine | 8895 Broadway, Merrillville, IN 46410-7037 | 2005-06-01 |
| 1346601168 | Krystal Lee Baum | Registered Nurse | 8895 Broadway, Merrillville, IN 46410-7037 | 2016-03-08 |
| 1841524683 | Yun Ju Kim | Internal Medicine | 8895 Broadway, Merrillville, IN 46410-7037 | 2009-09-27 |
| 1679508410 | Marianne K Schallmo | Nurse Practitioner | 8895 Broadway, Merrillville, IN 46410-7037 | 2006-07-11 |
| 1235160938 | Ima Endoscopy Surgicenter P C | Clinic/Center | 8895 Broadway, Merrillville, IN 46410-7037 | 2006-07-05 |
| 1487685178 | Internal Medicine Associates | Internal Medicine | 8895 Broadway, Merrillville, IN 46410-7037 | 2006-07-05 |
| 1922076702 | Tamara Joy Elkins | Nurse Practitioner | 8895 Broadway, Merrillville, IN 46410 | 2006-03-09 |
| 1992770390 | Mark Fesenmyer | Internal Medicine | 8895 Broadway, Merrillville, IN 46410-7037 | 2006-02-20 |
| 1225013972 | Omar Said Nehme | Internal Medicine | 8895 Broadway, Merrillville, IN 46410-7037 | 2005-12-14 |
| 1326043597 | Peter George Mavrelis | Internal Medicine | 8895 Broadway, Merrillville, IN 46410-7037 | 2005-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598263899 | Andriy Khlopas | Nurse Practitioner | 8300 Broadway Ste D, Merrillville, IN 46410-8602 | 2018-02-01 |
| 1821365859 | Nola Rae Schultz | Nurse Practitioner | 1471 E. 84th Place, Merrillville, IN 46410-6451 | 2011-11-18 |
| 1720308992 | Sarah Ann Kats | Nurse Practitioner | 300 W. 80th Place, Merrillville, IN 46410 | 2010-06-10 |
| 1659909372 | Jaelyn Lois French | Nurse Practitioner | 3313 E 83rd Pl, Merrillville, IN 46410-6544 | 2020-03-29 |
| 1710512207 | Christine Engle | Nurse Practitioner | 200 E 89th Ave Ste 2a, Merrillville, IN 46410-7319 | 2020-03-05 |
| 1205499118 | Heidi M Biggs | Nurse Practitioner | 751 E 81st Ave, Merrillville, IN 46410-5538 | 2019-04-16 |
| 1487161014 | Lindsey Renee King | Nurse Practitioner | 8645 Connecticut St, Merrillville, IN 46410-6222 | 2018-01-04 |
| 1407308117 | Erica Danielle Ketchum | Nurse Practitioner | 3903 E Us Highway 30, Merrillville, IN 46410-5810 | 2016-10-28 |
| 1851657779 | Childrens and Family Health Clinic | Nurse Practitioner | 205 E 86th Ct, Merrillville, IN 46410-6259 | 2012-04-04 |
| 1205103835 | Debbie Ann Mable | Nurse Practitioner | 1471 E. 84th Place, Merrillville, IN 46410 | 2011-11-28 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
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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.