DR. CHELSEA M GUSTAFSON (NPI# 1366043911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366043911 |
Entity Type | Individual |
Full Name | DR. CHELSEA M GUSTAFSON |
Credential | PHARMD |
Practice Address |
3500 S Lafountain St Kokomo IN 46902-3803 |
Mailing Address |
853 Hickory Dr Carmel IN 46032-2307 |
Practice Telephone | 7657763500 |
Mailing Telephone | 2197718600 |
Enumeration Date | 2020-11-02 |
Last Update Date | 2020-11-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1835X0200X |
Pharmacist Specialization: Oncology |
051297744 | IL | Pharmacy Service Providers |
Y | 1835X0200X |
Pharmacist Specialization: Oncology |
26025765A | IN | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265983183 | Chelsea Jean Gustafson | Massage Therapist | 1220 Sw Morrison St Ste 900, Portland, OR 97205-2228 | 2016-10-14 |
Street Address |
3500 S LAFOUNTAIN ST |
City | KOKOMO |
State | IN |
Zip Code | 46902-3803 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023099868 | Cathy J Simms | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2005-11-09 |
1700409257 | Rachelle Goddard | Registered Nurse | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2020-05-19 |
1144878612 | Ellman Barkley Holder | Registered Nurse | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2019-08-28 |
1023598307 | Alannah Scott | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2018-08-16 |
1487173936 | Mid America Clinical Laboratories LLC | Clinical Medical Laboratory | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2017-09-15 |
1639691413 | Ginger Ann Smith | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2017-07-12 |
1700325586 | Community Howard Regional Health, Inc | Clinic/Center | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2017-02-14 |
1760925762 | Howard Community Ambulance Service | Ambulance | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2016-11-22 |
1881054575 | Heather Hare | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2016-02-24 |
1386002236 | Joseph Hooper | Counselor | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2016-02-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
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Taxonomy Code | 1835X0200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Oncology |
A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528615036 | Matthew Lovell Boyd | Pharmacist | 11050 Parkview Circle Dr Ste 3b, Fort Wayne, IN 46845-1739 | 2019-08-20 |
1346466190 | Jennifer Elizabeth Bell | Pharmacist | 9002 N Meridian St Ste 214, Indianapolis, IN 46260-5350 | 2007-04-18 |
1639147887 | Patrick Joseph Kiel | Pharmacist | 555 University Blvd, Indianapolis, IN 46202 | 2006-03-12 |
1295355899 | Anna Marie Gibson | Pharmacist | 4107 Gateway Blvd, Newburgh, IN 47630-8954 | 2020-04-23 |
1629624721 | Kelsey Marie Finch | Pharmacist | 2400 17th St, Columbus, IN 47201-5351 | 2019-08-14 |
1134604697 | Samuel Durham | Pharmacist | 420 N 26th St, Lafayette, IN 47904-2848 | 2018-10-01 |
1003391814 | Erin Hoag | Pharmacist | 420 N 26th St, Lafayette, IN 47904-2848 | 2018-09-27 |
1790265353 | Sarah Kuntz | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2018-08-14 |
1225556210 | Derek James Gyori | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2017-08-30 |
1083145023 | Daniel Kendzierski | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2017-03-22 |
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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.