JACQUELINE SUE LENFESTEY-DEMONT (NPI# 1578689782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578689782 |
| Entity Type | Individual |
| Full Name | JACQUELINE SUE LENFESTEY-DEMONT |
| Other Name | JACQUELINE LENFESTEY |
| Credential | MSN, APRN, CNS |
| Practice Address |
1215 Lawn Ave Ste 120 Elkhart IN 46514-2450 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5745232733 |
| Mailing Telephone | 5746471610 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704255722 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71002535A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SX0200X |
Clinical Nurse Specialist Specialization: Oncology |
70000200A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS BMG CARDIOTHORACIC SURGERY | 000000944857 | 01 |
| IN | 200862570A | 05 | |
| IN | MEDICARE PTAN | 261930019 | 01 |
| IN | MEDICARE PTAN | 236040140 | 01 |
| IN | ANTHEM BC&BS | 000000514941 | 01 |
| Street Address |
1215 LAWN AVE STE 120 |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-2450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730494915 | Muhammad Uzair Saqlain | Internal Medicine | 1215 Lawn Ave Ste 120, Elkhart, IN 46514-2450 | 2010-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974675 | Courtney Rae Lawson | Nurse Practitioner | 1178 Fremont Ct., Elkhart, IN 46516 | 2020-08-28 |
| 1710326814 | Celeste M Warlick | Nurse Practitioner | 5218 Beck Dr Ste 12, Elkhart, IN 46516-9132 | 2013-06-21 |
| 1831454743 | Sharon Ann Covello | Nurse Practitioner | 2424 California Rd, Elkhart, IN 46514-1226 | 2012-07-06 |
| 1194334631 | Candie Books | Nurse Practitioner | 2310 California Rd, Elkhart, IN 46514-1228 | 2020-07-30 |
| 1992324883 | Apeksha Shah | Nurse Practitioner | 2746 Old Us 20 W Ste A, Elkhart, IN 46514-1365 | 2020-04-10 |
| 1023640117 | Cecilia Mumbi Maina | Nurse Practitioner | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2020-02-07 |
| 1588217533 | Emily Brown | Nurse Practitioner | 28070 County Road 24, Elkhart, IN 46517-9717 | 2019-07-18 |
| 1427619212 | Jessica Rinehart | Nurse Practitioner | 600 East Blvd, Elkhart, IN 46514-2483 | 2019-06-24 |
| 1356900773 | Sheila Marie Clark | Nurse Practitioner | 236 Simpson Ave, Elkhart, IN 46516-4666 | 2019-06-10 |
| 1114482676 | Marla M Troyer | Nurse Practitioner | 303 S Nappanee St, Elkhart, IN 46514-2098 | 2019-02-08 |
| Find all providers in ELKHART | ||||
Please comment or provide details below to improve the information on JACQUELINE SUE LENFESTEY-DEMONT.
| 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.