KARI LEA SCULATI (NPI# 1508481334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508481334 |
| Entity Type | Individual |
| Full Name | KARI LEA SCULATI |
| Credential | FNP-BC |
| Practice Address |
6913 N Main St Ste 100 Granger IN 46530-8039 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5746476400 |
| Mailing Telephone | 5746471610 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28116538A | IN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71010110A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1815 E Ireland Rd, South Bend, IN 466142845 | 5746471700 |
| Street Address |
6913 N MAIN ST STE 100 |
| City | GRANGER |
| State | IN |
| Zip Code | 46530-8039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306899554 | Beacon Medical Group, Inc. | Dermatology | 6913 N Main St Ste 100, Granger, IN 46530 | 2006-05-18 |
| 1477988590 | Jenelle Haley Stefanski | Registered Nurse | 6913 N Main St Ste 100, Granger, IN 46530-8039 | 2013-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610783 | Michiana Weight Loss and Wellness Clinic LLC | Internal Medicine | 14304 Sr 23, Granger, IN 46530 | 2020-05-14 |
| 1609427921 | Stephen J Armet | Physical Therapist | 16733 Saratoga Ct, Granger, IN 46530 | 2019-09-27 |
| 1881177756 | Memorial Hospital of South Bend | General Acute Care Hospital | 3220 Beacon Parkway, Granger, IN 46530 | 2018-09-07 |
| 1922483635 | Kiley Ramer | Behavioral Analyst | 6910 N Main St Bldg 13c51, Granger, IN 46530 | 2015-07-23 |
| 1326439415 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 625 E University Dr., Granger, IN 46530 | 2015-02-10 |
| 1811302094 | Costco Wholesale Corporation | Pharmacy | 625 E. University Drive, Granger, IN 46530 | 2014-06-25 |
| 1255773255 | Tracy Joyce Abel | Behavioral Analyst | 12042 Covered Wagon Court, Granger, IN 46530 | 2013-07-19 |
| 1225376304 | George Youssef | Internal Medicine | 5610 Town Center Drive #14, Granger, IN 46530 | 2013-01-23 |
| 1033489596 | Rene Raul Arce Guarnaluse | Homeopath | Emilio Bayarri 50, Puzol, VALENCIA 46530 | 2011-12-30 |
| 1568747368 | Ranya Bouzou-kadi | Pharmacist | 13060 Adams, Granger, IN 46530 | 2011-10-13 |
| Find all providers in zip 46530 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1992155121 | Iga Aizigov | Nurse Practitioner | 50653 Hollybrook Dr, Granger, IN 46530-4947 | 2016-06-19 |
| 1427539758 | Christine M Healy | Nurse Practitioner | 52500 Fir Rd, Granger, IN 46530-8579 | 2018-08-24 |
| 1972084317 | Rachael Moyer | Nurse Practitioner | 130 E Cleveland Rd, Granger, IN 46530-5620 | 2018-08-23 |
| 1285124727 | Shantelle M Burress | Nurse Practitioner | 130 E Cleveland Rd, Granger, IN 46530-5620 | 2018-05-10 |
| 1891207320 | Barbara Ann Glassford | Nurse Practitioner | 6913 N Main St Ste 300, Granger, IN 46530-8039 | 2017-10-24 |
| 1619425980 | Kayti Lynn Bonczynski | Nurse Practitioner | 52500 Fir Rd, Granger, IN 46530-8579 | 2016-09-15 |
| 1285053207 | Roberta Gooding Fnp | Nurse Practitioner | 130 E Cleveland Rd, Granger, IN 46530-5620 | 2014-04-08 |
| 1114265204 | Tammy Gene Slott | Nurse Practitioner | 12340 Bittersweet Commons Blvd W, Granger, IN 46530-6959 | 2013-01-23 |
| 1215272224 | Jillian R Colpitts | Nurse Practitioner | 130 E Cleveland Rd, Granger, IN 46530-5620 | 2012-12-02 |
| Find all providers in GRANGER | ||||
Please comment or provide details below to improve the information on KARI LEA SCULATI.
| 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.