MICHELLE YAKIMICKI (NPI# 1639619091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639619091 |
| Entity Type | Individual |
| Full Name | MICHELLE YAKIMICKI |
| Practice Address |
253 Sagamore Pkwy W West Lafayette IN 47906-1501 |
| Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
| Practice Telephone | 7654488000 |
| Mailing Telephone | 7654488000 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28192763A | IN | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71007259A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300005004 | 05 | |
| IN | ANTHEM PROVIDER NUMBER | 000001099880 | 01 |
| Street Address |
253 SAGAMORE PKWY W |
| City | WEST LAFAYETTE |
| State | IN |
| Zip Code | 47906-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316934102 | Lori E Pekarek | Emergency Medicine | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2005-10-05 |
| 1457826661 | Meghan L Lovellette | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2018-10-04 |
| 1154803716 | Kasey Williams | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2018-08-30 |
| 1952897118 | Jenny Mullis | Registered Nurse | 253 Sagamore Pkwy W, West Lafayette, IN 47906 | 2018-07-10 |
| 1114421161 | Stacey Mels | Registered Nurse | 253 Sagamore Pkwy W, West Lafayette, IN 47906 | 2018-03-22 |
| 1649705138 | Megan Ishikawa | Family Medicine | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2017-04-22 |
| 1750822367 | Katie D Aldridge | Registered Nurse | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2017-03-15 |
| 1912449273 | Scott F Wood | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2016-11-17 |
| 1912360348 | Scott E. Wilkins | Family Medicine | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2016-04-02 |
| 1164884110 | Priscilla A Hetrick | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2016-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457990848 | Wickshire West Lafayette Opco LLC | Assisted Living Facility | 3575 Senior Place, West Lafayette, IN 47906 | 2020-01-02 |
| 1992290530 | Cameron Eldred | Specialist/Technologist | 3367 Edison Dr, West Lafayette, IN 47906 | 2018-06-26 |
| 1720593403 | Devin Kay Hall | Specialist/Technologist | 900 John R. Wooden Drive, West Lafayette, IN 47906 | 2017-12-04 |
| 1609398270 | Christian Floirendo | Specialist/Technologist | 2225 Willowbrook Dr, #207, West Lafayette, IN 47906 | 2017-07-14 |
| 1699176800 | Leslie Michell Pell | Registered Nurse | 1873 Kingeider Drive, West Lafayette, IN 47906 | 2014-09-07 |
| 1881007581 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2636 Us52 Sagamore Pkwy, West Lafayette, IN 47906 | 2014-06-10 |
| 1588089536 | Sarah Pierce | Pharmacist | 2636 Us 52, West Lafayette, IN 47906 | 2014-02-27 |
| 1811228240 | Angelica D. Kokkalis | Acupuncturist | 124 Westwood Dr., W. Lafayette, IN 47906 | 2010-01-25 |
| 1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
| 1871784330 | Sally A Timmons LLC | Social Worker | 120 Sagamore Parkway West, West Lafayette, IN 47906 | 2007-08-08 |
| Find all providers in zip 47906 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912485038 | Winona Benita Pitts | Nurse Practitioner | 3851 N River Rd, West Lafayette, IN 47906-3765 | 2018-07-31 |
| 1306322987 | Margaret Anne Titus-quear | Nurse Practitioner | 3851 N River Rd, West Lafayette, IN 47906-3762 | 2018-07-17 |
| 1114309655 | Yun Cai | Nurse Practitioner | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2015-06-21 |
| 1215234752 | Susan Jo Kuhn | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2011-02-18 |
| 1588974091 | Kate Kollman | Nurse Practitioner | 601 Stadium Mall Dr, West Lafayette, IN 47907-2052 | 2010-10-18 |
| 1912230749 | Janelle E Potetz | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2009-09-11 |
| 1558535369 | Monica W Keyes | Nurse Practitioner | 2995 N Salisbury St, West Lafayette, IN 47906-1435 | 2008-04-14 |
| 1336347632 | Megan Rowe | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2007-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348292 | Joshua Thomas Sandifer | Nurse Practitioner | 9030 Cline Ave Ste A, Highland, IN 46322-2204 | 2020-05-22 |
| 1083262992 | Francesca E Udoh | Nurse Practitioner | 51875 Whitestable Ln, South Bend, IN 46637-1371 | 2019-09-04 |
| 1326694027 | Mary Zody | Nurse Practitioner | 8177 N Meridian Rd, Denver, IN 46926-2328 | 2019-08-18 |
| 1851852727 | Carmen Lagaye Bogle | Nurse Practitioner | 1050 W 72nd St, Indianapolis, IN 46260-4037 | 2019-03-25 |
| 1245701556 | Tami Marie Weston | Nurse Practitioner | 7913 E County Road 50 N, Moores Hill, IN 47032-9612 | 2018-12-13 |
| 1932674298 | Hillary E Powell | Nurse Practitioner | 1115 Ronald Reagan Pkwy Ste 364, Avon, IN 46123-6914 | 2018-10-12 |
| 1861991176 | Kimberly S Houchens | Nurse Practitioner | 135 N Pennsylvania St Ste 1610, Indianapolis, IN 46204-2448 | 2018-02-02 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1194259879 | Bahtrena Rogers | Nurse Practitioner | 9302 Budd Run Dr, Indianapolis, IN 46250-1322 | 2017-04-19 |
| 1881125854 | Tajuana Davis | Nurse Practitioner | 3253 Autumn Ash Dr, Zionsville, IN 46077-7105 | 2017-03-22 |
| Find all providers with the same taxonomy | ||||
| City | WEST LAFAYETTE |
| Zip Code | 47906 |
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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.