LYNN RAE KELLETT (NPI# 1477705259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477705259 |
| Entity Type | Individual |
| Full Name | LYNN RAE KELLETT |
| Credential | MSN, CPNP, FNP-C |
| Practice Address |
567 N 5th St Terre Haute IN 47809-1903 |
| Practice Telephone | 8122373883 |
| Practice Fax Number | 8122378246 |
| Mailing Telephone | 8122373883 |
| Mailing Fax Number | 8122378246 |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2010-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71002444A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
71002444A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
567 N 5TH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47809-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134697295 | Dylan Shelby Frazier | Specialist/Technologist | 567 N 5th St, Terre Haute, IN 47809-3358 | 2018-11-07 |
| 1114410750 | Justin Michael Applegate | Physical Therapist | 567 N 5th St, Terre Haute, IN 47809 | 2018-06-08 |
| 1629566252 | Samantha M Polson | Specialist/Technologist | 567 N 5th St, Terre Haute, IN 47809-1903 | 2018-04-30 |
| 1205341906 | Lauren Virginia Cox | Specialist/Technologist | 567 N 5th St, Terre Haute, IN 47809-1903 | 2017-12-05 |
| 1174050769 | Brittney Marie Millspaugh Storms | Physical Medicine & Rehabilitation | 567 N 5th St, Terre Haute, IN 47809-1903 | 2017-05-15 |
| 1811421837 | Melissa Ericson | Specialist/Technologist | 567 N 5th St, Terre Haute, IN 47809-1903 | 2017-04-17 |
| 1326588997 | Union Associated Physicians Clinic, LLC | Family Medicine | 567 N 5th St, Terre Haute, IN 47809-1903 | 2017-03-02 |
| 1164973376 | Chelsey Marie Toney | Student in an Organized Health Care Education/Training Program | 567 N 5th St, Terre Haute, IN 47809-1903 | 2016-10-23 |
| 1336592922 | Jamie Nikander | Specialist/Technologist | 567 N 5th St, Terre Haute, IN 47809-1903 | 2016-07-19 |
| 1578956736 | Maura Shea | Physical Medicine & Rehabilitation | 567 N 5th St, Terre Haute, IN 47809-1903 | 2015-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699291658 | Shunnosuke Hayashi | Specialist/Technologist | 567 N 5th Street, Scwam 257, Terre Haute, IN 47809 | 2017-08-21 |
| 1730502386 | Joseph Rosauer | Specialist/Technologist | 567 N 5th Street, Sycamore Center for Health and Wellness, Terre Haute, IN 47809 | 2014-01-31 |
| 1063612257 | Indiana State University | Clinic/Center | 567 N 5th St., Terre Haute, IN 47809 | 2007-07-25 |
| 1104851831 | Megan Eileen Tucker | Genetic Counselor, MS | 600 Chestnut St., Science 277, Indiana State University, Terre Haute, IN 47809 | 2006-07-11 |
| 1639626732 | Zoe Lindsley | Specialist/Technologist | 168 Lincoln Quads, Terre Haute, IN 47809-0001 | 2016-09-06 |
| 1174889349 | Shanice Johnson | Specialist/Technologist | Wellness and Applied Medicine Rm 201 5th St, Terre Haute, IN 47809-0001 | 2012-04-02 |
| 1164702452 | Janis Leigh | Psychologist | Indiana State University Psycholog Clinic, Root Hall, Terre Haute, IN 47809-0001 | 2011-08-18 |
| 1447566013 | David John Dziedzicki | Specialist/Technologist | Student Services Building Rm 201, Terre Haute, IN 47809-0001 | 2010-08-20 |
| 1487813028 | Mary Catherine Tucker | Counselor | 1511 College of Education, Indiana State University, Terre Haute, IN 47809-0001 | 2008-06-09 |
| 1023298106 | Benjamin Bradford Fraser | Specialist/Technologist | Athletic Training Department C-06, Indiana State University, Terre Haute, IN 47809-0001 | 2007-11-06 |
| Find all providers in zip 47809 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126272 | Corinne Rose Haley | Nurse Practitioner | 308 Fort Harrison Rd, Terre Haute, IN 47804-1057 | 2020-08-26 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1356798060 | Lunamed | Nurse Practitioner | 5665 Hallie Rae Ct, Terre Haute, IN 47802-8244 | 2016-05-23 |
| 1558753012 | Natasha Morgan | Nurse Practitioner | 1530 N 7th St Ste 109, Terre Haute, IN 47807-1057 | 2015-02-20 |
| 1255759817 | Amber Denise Pitts | Nurse Practitioner | 1530 N 7th St Ste 110, Terre Haute, IN 47807-1057 | 2014-04-01 |
| 1760739130 | Debra Tague | Nurse Practitioner | 4445 S 10th St, Terre Haute, IN 47802-4315 | 2012-08-05 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| 1285916494 | Amy Clare Lambert | Nurse Practitioner | 670 E Margaret Dr, Terre Haute, IN 47802-3950 | 2011-09-13 |
| 1508159096 | Stephanie D Arnold | Nurse Practitioner | 1429 No. 6th Street, Terre Haute, IN 47807-1037 | 2011-05-17 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47809 |
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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.