KEEGAN M. HALL (NPI# 1538797212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538797212 |
| Entity Type | Individual |
| Full Name | KEEGAN M. HALL |
| Credential | NP |
| Practice Address |
1050 Wishard Blvd Indianapolis IN 46202-2872 |
| Practice Telephone | 3176307418 |
| Mailing Telephone | 3176307418 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
71009940A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1050 WISHARD BLVD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-2872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932195732 | Cristina Simona Ivan | Psychiatry & Neurology | 1050 Wishard Blvd, Rg 6th Floor, Indianapolis, IN 46202-2872 | 2005-09-27 |
| 1013205467 | Kashyap D. Patel | Dentist | 1050 Wishard Blvd, Indianapolis, IN 46202-2872 | 2011-07-19 |
| 1013227313 | Laura M Potter | Case Manager/Care Coordinator | 1050 Wishard Blvd, Indianapolis, IN 46202-2872 | 2010-10-20 |
| 1124331087 | Heather Dost | Dentist | 1050 Wishard Blvd, Indianapolis, IN 46202-2872 | 2010-07-21 |
| 1518286145 | Dan-linh Ha | Dentist | 1050 Wishard Blvd, Rg 4201, Indianapolis, IN 46202-2872 | 2010-05-21 |
| 1730322892 | Smitha Marri | Internal Medicine | 1050 Wishard Blvd, Suite Rg 4100, Indianapolis, IN 46202-2872 | 2009-04-19 |
| 1396908224 | Michael Saumur | Student in an Organized Health Care Education/Training Program | 1050 Wishard Blvd, Rg 4201, Indianapolis, IN 46202-2872 | 2008-07-10 |
| 1396908422 | Jan Slapnicka | Dentist | 1050 Wishard Blvd, Rg 4201, Indianapolis, IN 46202-2872 | 2008-07-09 |
| 1578726618 | Hemjeet Bedi | Student in an Organized Health Care Education/Training Program | 1050 Wishard Blvd, Rg 4201, Indianapolis, IN 46202-2872 | 2008-07-09 |
| 1568620052 | Cory Zent | Dentist | 1050 Wishard Blvd, Rg 4201, Indianapolis, IN 46202-2872 | 2008-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891271466 | Hilton Health Housecall LLC | Nurse Practitioner | 4340 Trace Wood Dr, Indianapolis, IN 46254-6238 | 2018-07-17 |
| 1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
| 1013473297 | Patricia Justine Irvin | Nurse Practitioner | 2920 N Arlington Ave, Indianapolis, IN 46218-3361 | 2019-02-13 |
| 1518449297 | Victoria Crawford | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2018-08-30 |
| 1831682095 | Marcia M Jefferson | Nurse Practitioner | 6612 E 75th St, Indianapolis, IN 46250-2875 | 2018-06-12 |
| 1326539966 | Wendy Shokes | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2018-05-18 |
| 1700375243 | Terri Girt | Nurse Practitioner | 7007 Graham Rd, Indianapolis, IN 46220-4063 | 2018-05-09 |
| 1851895387 | Jessica Birge | Nurse Practitioner | 6401 E Washington St, Indianapolis, IN 46219 | 2018-03-20 |
| 1154830529 | Jeni Sylese Grundy | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2017-09-28 |
| 1396261749 | Leah Michelle Moulder | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2017-08-17 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on KEEGAN M. HALL.
| 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.