WAUNTESHA HARDY (NPI# 1518487677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518487677 |
| Entity Type | Individual |
| Full Name | WAUNTESHA HARDY |
| Credential | AGPCNP-BC |
| Practice Address |
3920 St Francis Way Ste 209 Lafayette IN 47905-4917 |
| Mailing Address |
1040 Sierra Dr Ste 400 Greenwood IN 46143-7241 |
| Practice Telephone | 7657752830 |
| Mailing Telephone | 3175284800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2019-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
28193111A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300004440 | 05 | |
| IN | MEDICARE | 471400463 | 01 |
| Street Address |
3920 ST FRANCIS WAY STE 209 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-4917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538292230 | Kimberly K Jefvert | Nurse Practitioner | 3920 St Francis Way Ste 209, Lafayette, IN 47905-4917 | 2007-03-13 |
| 1104479013 | Kelsey Rader | Nurse Practitioner | 3920 St Francis Way Ste 209, Lafayette, IN 47905-4917 | 2019-07-19 |
| 1902317282 | Crystal Leah Davit | Nurse Practitioner | 3920 St Francis Way Ste 209, Lafayette, IN 47905-4917 | 2017-10-13 |
| 1083135909 | Lingxiao Lu | Nurse Practitioner | 3920 St Francis Way Ste 209, Lafayette, IN 47905-4917 | 2017-06-30 |
| 1407052376 | Robert Laron Russell | Internal Medicine | 3920 St Francis Way Ste 209, Lafayette, IN 47905 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053968024 | Julie J Debord | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-08-23 |
| 1770049231 | Brandt Joseph Sanders | Nurse Practitioner | 441 Heymann Blvd, Lafayette, LA 70503-2611 | 2019-02-20 |
| 1659826683 | Icela Williams | Nurse Practitioner | 1509 Dulles Dr, Lafayette, LA 70506-3718 | 2016-08-19 |
| 1083067144 | Keiffer Bengie Wyble | Nurse Practitioner | 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506 | 2016-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567249 | Sarah E Munson | Nurse Practitioner | 1633 N Capitol Ave Ste 680, Indianapolis, IN 46202-1281 | 2020-08-06 |
| 1598327009 | Jack Chitenje | Nurse Practitioner | 13914 Boulder Canyon Dr, Fishers, IN 46038-5361 | 2019-07-03 |
| 1750844890 | Sarah Kathleen Cherry | Nurse Practitioner | 4326 Maldenhair Dr, Indianapolis, IN 46239-9033 | 2019-04-06 |
| 1861966533 | Ethan Jevon Merkel | Nurse Practitioner | 721 W 13th St Ste 221, Jasper, IN 47546-1817 | 2019-01-16 |
| 1184103459 | Katherine Rose Ahaus | Nurse Practitioner | 1801 Senate Blvd Ste 230, Indianapolis, IN 46202-1252 | 2018-08-08 |
| 1205342235 | Outpatient Integrated Strategies, LLC | Nurse Practitioner | 12315 Hancock St Ste 24, Carmel, IN 46032-5885 | 2017-12-28 |
| 1508389990 | Healthy Body LLC | Nurse Practitioner | 2515 Ladue Ln, Fort Wayne, IN 46804-2796 | 2017-07-18 |
| 1821539818 | Heather Hedgepeth | Nurse Practitioner | 1850 State St Fl 1, New Albany, IN 47150-4990 | 2017-03-10 |
| 1386197770 | Masita Isabel Poray | Nurse Practitioner | 5435 E 16th St Ste 500, Indianapolis, IN 46218-4869 | 2016-08-02 |
| 1578978011 | Ta'mella Ferron | Nurse Practitioner | 7143 Morello Ln, Noblesville, IN 46062-8438 | 2014-06-24 |
| Find all providers with the same taxonomy | ||||
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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.