ERRON KELLY (NPI# 1508240920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508240920 |
| Entity Type | Individual |
| Full Name | ERRON KELLY |
| Credential | NP |
| Practice Address |
1525 N Ritter Ave Indianapolis IN 46219-3026 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3173595467 |
| Practice Fax Number | 3173224095 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2020-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 71005563A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
71005563A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1525 N RITTER AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104807338 | Celeste S Burcham | Social Worker | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2005-11-05 |
| 1235739426 | Alecia Hudson | Marriage & Family Therapist | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2020-10-28 |
| 1205435963 | Kara Holtzclaw | Social Worker | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2020-10-22 |
| 1760080485 | Jonna Jones | Social Worker | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2020-10-14 |
| 1306451604 | Lindsay C Patterson | Social Worker | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2020-09-14 |
| 1053924704 | Sherry Butler | Social Worker | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2020-08-24 |
| 1457975914 | Katherine Wolven | Counselor | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2020-06-01 |
| 1720601677 | Samantha Seeger | Social Worker | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2020-05-27 |
| 1619598794 | Katherine Thompson | Counselor | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2020-04-30 |
| 1992334460 | Jamie Hill | Social Worker | 1525 N Ritter Ave, Indianapolis, IN 46219-3026 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444775 | Anu Abraham Ade Owofadeju | Nurse Practitioner | 8820 S Meridian St Ste 225, Indianapolis, IN 46217-6064 | 2020-07-21 |
| 1356959068 | Indy Behavioral Health LLC | Nurse Practitioner | 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069 | 2020-07-20 |
| 1376184556 | Carrie Mefford | Nurse Practitioner | 5435 E 16th St, Indianapolis, IN 46218-4869 | 2019-09-30 |
| 1124599394 | Adria Dawn Thornburgh | Nurse Practitioner | 6235 Forest View Dr, Indianapolis, IN 46260-4707 | 2018-12-16 |
| 1033693213 | Katie Marie Feeney | Nurse Practitioner | Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 | 2018-09-24 |
| 1912453937 | Andrew J Slaton | Nurse Practitioner | 1503 N Mitthoeffer Rd, Indianapolis, IN 46229-2425 | 2016-08-30 |
| 1528487659 | Elise S Montoya | Nurse Practitioner | 9106 North Meridian Street, Suite 100, Indianapolis, IN 46260 | 2014-04-16 |
| 1982046587 | Hillary A House | Nurse Practitioner | 2040 North Shadeland Ave, Ste 200, Indianapolis, IN 46219-1734 | 2013-07-24 |
| 1982936175 | Krista Schwuchow | Nurse Practitioner | 3403 E Raymond St, Indianapolis, IN 46203-4744 | 2010-02-12 |
| 1730265356 | Tammy Jo Bradford | Nurse Practitioner | 5251 S East St Ste 25b, Indianapolis, IN 46227-2061 | 2006-10-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
Please comment or provide details below to improve the information on ERRON KELLY.
| 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.