KELLY SUE DAVIS (NPI# 1588038475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588038475 |
| Entity Type | Individual |
| Full Name | KELLY SUE DAVIS |
| Credential | AGPCNP-BC |
| Practice Address |
6401 E Washington St Indianapolis IN 46219-6614 |
| Mailing Address |
213 N Racine Ave Suite 100 Chicago IL 60607-1644 |
| Practice Telephone | 3178087085 |
| Mailing Telephone | 3127339730 |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
28146332A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669081089 | Kelly Davis | Dental Hygienist | 741 Crystal Ln, Strasburg, VA 22657-2373 | 2020-07-31 |
| 1699270637 | Kelly Elise Davis | Student in an Organized Health Care Education/Training Program | 13001 E. 17th Pl., Campus Box F546, Bldg. 500, Room E2322, Aurora, CO 80045 | 2018-03-29 |
| 1659820074 | Kelly Kathleen Davis | Nurse Practitioner | 410 Lockerman St, Denton, MD 21629-1048 | 2016-09-27 |
| 1891243135 | Kelly Ann Davis | Nurse Anesthetist, Certified Registered | 19446 Parker St, Livonia, MI 48152-1579 | 2016-09-15 |
| 1881049120 | Kelly Ann Davis | Obstetrics & Gynecology | 7447 W Talcott Ave Ste 531, Chicago, IL 60631-3716 | 2016-04-24 |
| 1144611336 | Kelly Davis | Psychologist | 9525 S 93rd East Ave, Tulsa, OK 74133-6160 | 2015-02-10 |
| 1346501202 | Kelly Lynn Davis | Contractor | 18247 W Running Springs Rd, Park Hill, OK 74451-2017 | 2012-06-06 |
| 1518251826 | Kelly Megan Davis | Developmental Therapist | 10025 Hillview Dr Apt 28, Pensacola, FL 32514-5744 | 2011-06-03 |
| 1710271168 | Kelly Denise Davis | Developmental Therapist | 311 Heritage Dr, Mayfield, KY 42066-3432 | 2011-06-02 |
| 1386952307 | Kelly Davis | Speech-Language Pathologist | 2611 S Lees Summit Rd, Independence, MO 64055 | 2010-09-24 |
| Street Address |
6401 E WASHINGTON ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-6614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871568402 | Mark A Bustamante | Internal Medicine | 6401 E Washington St, Indianapolis, IN 46219-6614 | 2006-02-17 |
| 1639721525 | Amy Elizabeth Lewis | Nurse Practitioner | 6401 E Washington St, Indianapolis, IN 46219-6614 | 2019-07-11 |
| 1851895387 | Jessica Birge | Nurse Practitioner | 6401 E Washington St, Indianapolis, IN 46219 | 2018-03-20 |
| 1104335207 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 6401 E Washington St, Indianapolis, IN 46219-6614 | 2017-09-21 |
| 1407302078 | Heather Marie Dumond | Pharmacist | 6401 E Washington St, Indianapolis, IN 46219 | 2016-09-01 |
| 1215383021 | Practice Services of Indiana PC | Family Medicine | 6401 E Washington St, Indianapolis, IN 46219-6614 | 2016-05-11 |
| 1073995338 | Osh-in Physicians Group, PC | Family Medicine | 6401 E Washington St, Indianapolis, IN 46219-6614 | 2015-06-23 |
| 1245612944 | Bernadette Ashley | Nurse Practitioner | 6401 E Washington St, Indianapolis, IN 46219-6614 | 2015-06-18 |
| 1790197283 | Vivian Gaines-thompson | Nurse Practitioner | 6401 E Washington St, Indianapolis, IN 46219-6614 | 2014-06-02 |
| 1881861714 | Jerry J Fry II | Social Worker | 6401 E Washington St, Indianapolis, IN 46219-6614 | 2008-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567249 | Sarah E Munson | Nurse Practitioner | 1633 N Capitol Ave Ste 680, Indianapolis, IN 46202-1281 | 2020-08-06 |
| 1750844890 | Sarah Kathleen Cherry | Nurse Practitioner | 4326 Maldenhair Dr, Indianapolis, IN 46239-9033 | 2019-04-06 |
| 1184103459 | Katherine Rose Ahaus | Nurse Practitioner | 1801 Senate Blvd Ste 230, Indianapolis, IN 46202-1252 | 2018-08-08 |
| 1386197770 | Masita Isabel Poray | Nurse Practitioner | 5435 E 16th St Ste 500, Indianapolis, IN 46218-4869 | 2016-08-02 |
| 1316370612 | Paradigm Living Concepts, LLC | Nurse Practitioner | 8904 Bash St Ste B, Indianapolis, IN 46256-1286 | 2013-08-10 |
| 1902414709 | Michelle Nicole Gibson | Nurse Practitioner | 1801 N Senate Blvd, Indianapolis, IN 46202-1228 | 2020-07-17 |
| 1467081455 | Sarah Elizabeth Wheeler | Nurse Practitioner | 1801 N Senate Blvd Ste 635, Indianapolis, IN 46202-1212 | 2020-04-02 |
| 1154965531 | Monica Deryckere | Nurse Practitioner | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2019-10-29 |
| 1699318592 | Marcy Penrod | Nurse Practitioner | 8333 Naab Rd, Indianapolis, IN 46260-5924 | 2019-10-23 |
| 1124677000 | Amanda Marie Mccoy Ignaut | Nurse Practitioner | 1402 E County Line Rd, Indianapolis, IN 46227-0963 | 2019-09-04 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
Please comment or provide details below to improve the information on KELLY SUE DAVIS.
| 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.