LAURA KIEFER (NPI# 1548879158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548879158 |
| Entity Type | Individual |
| Full Name | LAURA KIEFER |
| Credential | CD |
| Practice Address |
2629 Marcy Ln Fort Wayne IN 46806-2591 |
| Practice Telephone | 2602670170 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952654261 | Laura Kiefer | Physical Therapy Assistant | 505 W Fourth St, Milford, IN 46542-9310 | 2012-10-24 |
| Street Address |
2629 MARCY LN |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46806-2591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841574829 | Daniel E Purvis Jr. | Pharmacist | 222 E Pettit Avenue, Fort Wayne, IN 46806 | 2011-10-07 |
| 1558645754 | Logan M Franke | Pharmacist | 222 E Pettit Ave, Fort Wayne, IN 46806 | 2011-10-06 |
| 1356513725 | Seazoned Med Transportation Service | Non-emergency Medical Transport (VAN) | 2809 Smith Street, Fort Wayne, IN 46806 | 2008-03-26 |
| 1376711267 | Hector F Perez Md PC | Family Medicine | 5717 So Anthony, Ste 500, Fort Wayne, IN 46806 | 2008-02-14 |
| 1326249376 | Purdue University | Dentist | 2700 South Lafayette Street, Fort Wayne, IN 46806 | 2007-05-29 |
| 1174657480 | Robert Anthony Ford | Case Manager/Care Coordinator | 525 Oxford St., Fort Wayne, IN 46806 | 2007-03-16 |
| 1508069972 | Indiana University | Clinic/Center | 2700 South Lafayette Street, Fort Wayne, IN 46806 | 2007-06-06 |
| 1669622403 | Sally J Hartman | Nurse Practitioner | 2700 S Lafayette St, Suite 200, Fort Wayne, IN 46806-1100 | 2008-09-30 |
| 1003099441 | Lafayette Foot and Ankle Clinic | Podiatrist | 2700 Lafayette St Ste 230, Fort Wayne, IN 46806-1100 | 2007-12-07 |
| 1033259197 | V E Butler and Associates PC | Pharmacist | 2700 S. Lafayette St, Communitycare Pharmacy, Fort Wayne, IN 46806-1100 | 2007-02-07 |
| Find all providers in zip 46806 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619538949 | Brialle Walker | Peer Specialist | 941 Becker St, Hammond, IN 46320-2110 | 2019-06-26 |
| 1114425907 | Jenniffer J Friskney | Peer Specialist | 680 W Parkway Dr, Pleasant Lake, IN 46779-9513 | 2018-01-25 |
| 1457717183 | Renee Ivy | Peer Specialist | 7060 Madison St, Merrillville, IN 46410-3452 | 2016-01-11 |
| 1093186181 | Nancy Paschal | Peer Specialist | 17707 Auburn Rd, Huntertown, IN 46748-9760 | 2015-10-14 |
| 1265049845 | Rebecca Soboleski | Peer Specialist | 4747 W 24th Ave, Gary, IN 46406-2821 | 2020-09-28 |
| 1922637149 | Richard Wyatt Sampson | Peer Specialist | 7941 Castleway Dr, Indianapolis, IN 46250-1953 | 2020-04-08 |
| 1003445420 | Amber Wehle | Peer Specialist | 521 E 86th Ave Ste H, Merrillville, IN 46410-6236 | 2020-04-07 |
| 1598394108 | Sarah E Hoyt | Peer Specialist | 3351 N Meridian St Ste 110, Indianapolis, IN 46208-4674 | 2020-04-06 |
| 1700415213 | Kristy Marie Shene | Peer Specialist | 3351 N Meridian St Ste 110, Indianapolis, IN 46208-4674 | 2020-04-06 |
| 1467912345 | Tiffany Richardson | Peer Specialist | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-03-25 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46806 |
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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.