KATELYN JANE HAVER (NPI# 1619590338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619590338 |
| Entity Type | Individual |
| Full Name | KATELYN JANE HAVER |
| Credential | PA-C |
| Practice Address |
1701 S Creasy Ln Lafayette IN 47905-4972 |
| Mailing Address |
553 Glenwood Dr Valparaiso IN 46385-8822 |
| Practice Telephone | 7655024000 |
| Mailing Telephone | 5742490150 |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1701 S CREASY LN |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-4972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497756563 | Douglas W Rookstool | Internal Medicine | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2005-08-10 |
| 1730787029 | Angela Strawmyer-grever | Nurse Practitioner | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2020-10-09 |
| 1912520420 | Tosha Mosby | Occupational Therapist | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2020-05-19 |
| 1538780747 | Betty Ann Demko | Registered Nurse | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2020-04-28 |
| 1538795604 | Molly Elliott Meadows Grundy | Clinical Nurse Specialist | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2020-03-20 |
| 1073148219 | Stacy Ann Bible | Pharmacist | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2020-03-09 |
| 1295371805 | Kelsey Clair Haas | Physician Assistant | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2019-11-19 |
| 1811559800 | Colton James Saroff | Physician Assistant | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2019-07-01 |
| 1275193518 | Rebecca Gray | Occupational Therapist | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2019-06-18 |
| 1467913996 | Erica Nicole Geisler | Physical Medicine & Rehabilitation | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2019-03-27 |
| Find all providers in the same location | ||||
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041402 | Dillon Michael Kelly | Physician Assistant | 1214 Coolidge St., Lafayette, LA 70503-2621 | 2020-10-20 |
| 1326669334 | Rachel Fulmer Trepagnier | Physician Assistant | 111 La Rue Vil, Lafayette, LA 70508-6829 | 2020-04-30 |
| 1093299661 | Jacqueline Grainger Davidson | Physician Assistant | 2540 Westward Dr, Lafayette, CO 80026-9176 | 2018-09-19 |
| 1003394891 | Stefanie Marie Hummel | Physician Assistant | 105 Patriot St Ste 101, Lafayette, LA 70508-6831 | 2018-08-02 |
| 1477067239 | Madison Elizabeth Amos | Physician Assistant | 1140 W South Boulder Rd Ste 202, Lafayette, CO 80026-8910 | 2017-11-30 |
| 1639682164 | Callie Phillips | Physician Assistant | 3441 Golden Gate Way Apt D, Lafayette, CA 94549-4533 | 2017-11-06 |
| 1629591383 | Matthew Jacob Stephen | Physician Assistant | 12 Shreve Ln, Lafayette, CA 94549-4066 | 2017-07-24 |
| 1881114486 | Ani Akopyan | Physician Assistant | 3535 Brook St Apt 22, Lafayette, CA 94549-4336 | 2017-06-23 |
| 1851829360 | Daniel Manilla | Physician Assistant | 380 Empire Rd Ste 200, Lafayette, CO 80026-2677 | 2017-05-28 |
| 1962942839 | Marcus Ryan Davidson | Physician Assistant | 605 Silverstone Rd Ste 100, Lafayette, LA 70508 | 2017-02-27 |
| Find all providers in LAFAYETTE | ||||
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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.