MISS KAILEY DIANN VERNON (NPI# 1497373963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497373963 |
| Entity Type | Individual |
| Full Name | MISS KAILEY DIANN VERNON |
| Credential | PA-C |
| Practice Address |
7165 Clearvista Way Indianapolis IN 46256-4621 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3176215100 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PENDING | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
363AM0700X | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5750 Brockton Ct Apt 6, Indianapolis, IN 462205467 | 3173135875 |
| Street Address |
7165 CLEARVISTA WAY |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46256-4621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073598629 | Kimble L Richardson | Counselor | 7165 Clearvista Way, Indianapolis, IN 46256-4621 | 2005-12-07 |
| 1528668027 | Amanda Jo Schreier | Social Worker | 7165 Clearvista Way, Indianapolis, IN 46256-4621 | 2020-10-26 |
| 1942839451 | Calvin Nguyen | Student in an Organized Health Care Education/Training Program | 7165 Clearvista Way, Indianapolis, IN 46256-4621 | 2020-04-06 |
| 1568091049 | Sarah Heming | Student in an Organized Health Care Education/Training Program | 7165 Clearvista Way, Indianapolis, IN 46256-4621 | 2020-04-06 |
| 1972132462 | Nikita Patel | Student in an Organized Health Care Education/Training Program | 7165 Clearvista Way, Indianapolis, IN 46256-4621 | 2020-04-06 |
| 1720617228 | Kiersten Olsen | Student in an Organized Health Care Education/Training Program | 7165 Clearvista Way, Indianapolis, IN 46256-4621 | 2020-04-06 |
| 1942848320 | Kimberly St.pierre | Social Worker | 7165 Clearvista Way, Indianapolis, IN 46256-4621 | 2019-12-16 |
| 1407408412 | Rashel Low | Clinical Nurse Specialist | 7165 Clearvista Way, Indianapolis, IN 46256-4621 | 2019-07-10 |
| 1386204535 | Stephanie Kurrus | Social Worker | 7165 Clearvista Way, Indianapolis, IN 46256-4621 | 2019-06-19 |
| 1881155489 | Amna Khan Siddique | Student in an Organized Health Care Education/Training Program | 7165 Clearvista Way, Indianapolis, IN 46256-4621 | 2019-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316859 | Jacob R Weeks | Behavior Technician | 9769 Crosspointed Blvd, Fishers, IN 46256 | 2020-01-28 |
| 1780236620 | Amare Hospice & Palliative Care | Family Medicine | 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 | 2019-07-11 |
| 1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
| 1447732557 | Kathleen O'hara | Marriage & Family Therapist | 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 | 2018-09-05 |
| 1205313608 | Healing Bridges Counseling, LLC | Marriage & Family Therapist | 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 | 2018-07-27 |
| 1477062123 | Rosalee Ann Miller | Social Worker | 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 | 2017-09-26 |
| 1760900039 | Amye Litherland | Registered Nurse | 7525 E. 82nd St Ste A, Indianapolis, IN 46256 | 2017-09-06 |
| 1275074239 | Jason Dempsey | Hearing Instrument Specialist | 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 | 2017-03-10 |
| 1578922761 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 | 2016-02-16 |
| 1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
| Find all providers in zip 46256 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634936 | Brilyn Michelle Banister | Physician Assistant | 8443 Cabin Creek Dr Apt G, Indianapolis, IN 46237-6330 | 2020-09-17 |
| 1386290625 | Douglas R Day | Physician Assistant | 1701 N Senate Blvd # Ag373a, Indianapolis, IN 46202-1239 | 2019-08-13 |
| 1841851409 | Rachel Jagrowski | Physician Assistant | 1801 N Senate Blvd Ste 700, Indianapolis, IN 46202-1177 | 2019-06-25 |
| 1407311814 | William Peter Thompson | Physician Assistant | 1801 N Capitol Ave # Npe120, Indianapolis, IN 46202-1217 | 2019-02-11 |
| 1912492679 | Katherine Barrett Tenbarge | Physician Assistant | 1800 N Capitol Ave # E140, Indianapolis, IN 46202-1218 | 2018-06-26 |
| 1154843704 | Jennifer Trapuzzano | Physician Assistant | 1801 N Senate Blvd Ste 310, Indianapolis, IN 46202-1196 | 2017-07-14 |
| 1154879666 | Grace Schultz | Physician Assistant | 1408 Broadway St Apt F, Indianapolis, IN 46202-2744 | 2016-09-13 |
| 1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
| 1386040046 | Maham Mushtaq | Physician Assistant | 5759 James Blair Dr, Indianapolis, IN 46234-3226 | 2014-11-07 |
| 1285030924 | Margaret Anne Voelker-park | Physician Assistant | 550 University Blvd Unit 3240, Indianapolis, IN 46202-5250 | 2014-11-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46256 |
Please comment or provide details below to improve the information on MISS KAILEY DIANN VERNON.
| 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.