KYLIE ELIZABETH MARTINDALE (NPI# 1710547492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710547492 |
| Entity Type | Individual |
| Full Name | KYLIE ELIZABETH MARTINDALE |
| Credential | ATC |
| Practice Address |
2610 Enterprise Dr Anderson IN 46013-9684 |
| Mailing Address |
1122 Waggoner Dr Rushville IN 46173-1060 |
| Practice Telephone | 8006226575 |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2019-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 36003006A | IN | Other Service Providers |
| Street Address |
2610 ENTERPRISE DR |
| City | ANDERSON |
| State | IN |
| Zip Code | 46013-9684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512588 | William Hall | Pain Medicine | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2005-07-18 |
| 1245899079 | Monica Lynn Stephens | Nurse Practitioner | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2019-06-05 |
| 1235616459 | Natalie Dawn Mcclintick | Nurse Practitioner | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2018-07-20 |
| 1730603036 | Kelsey Mcgrady | Specialist/Technologist | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2017-07-28 |
| 1952847584 | Allison Meyers | Nurse Practitioner | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2017-01-06 |
| 1629512645 | Nicholas Long | Physician Assistant | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2016-12-09 |
| 1639629785 | Brooke Earl | Specialist/Technologist | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2016-10-12 |
| 1154791051 | Briana M King Deley | Nurse Practitioner | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2015-10-05 |
| 1275927345 | Erin Platt | Specialist/Technologist | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2015-03-26 |
| 1609275619 | David E Tann | Physician Assistant | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2014-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932639929 | John Till | Optometrist | 5535 South Scatterfield Road, Anderson, IN 46013 | 2017-06-13 |
| 1053595843 | Vidya Ramesh Bettagere | Dentist | 3819 Fairview Drive, Anderson, IN 46013 | 2007-12-28 |
| 1003978586 | Chris D Kinney | Dentist | 3825 Fairview Dr, Anderson, IN 46013 | 2006-12-14 |
| 1841350550 | Deena M Heller | Social Worker | 3125 S Scatterfield Rd Ste 200, Anderson, IN 46013 | 2006-12-11 |
| 1447320668 | Kregg Koons O.d., Inc. | Optometrist | 5535 Scatterfield Rd., Anderson, IN 46013 | 2006-11-08 |
| 1982261269 | Eloquence Therapy Services, P.C. | Speech-Language Pathologist | 3320 Main St, Suite J, Anderson, IN 46013 | 2019-05-22 |
| 1063977825 | Rachael Lauren Hartley | Nurse Practitioner | 3125 S Scatterfield Rd Ste 100, Anderson, IN 46013 | 2019-02-06 |
| 1710473194 | Myeyedr Optometry of Indiana, LLC | Optometrist | 1921 E 53rd St, Anderson, IN 46013 | 2018-07-09 |
| 1508356643 | Matthew M Miller | Physical Therapist | 4227 S Scatterfield Rd, Anderson, IN 46013 | 2018-05-15 |
| 1073040655 | Ashley Smith | Nurse Practitioner | 3125 S Scatterfield Rd Ste 300, Anderson, IN 46013 | 2017-05-15 |
| Find all providers in zip 46013 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871138487 | On Target Health LLC | Prevention Professional | 3960 Southeastern Ave, Indianapolis, IN 46203-1500 | 2019-11-07 |
| 1457906067 | Jennifer L Rubalcada | Prevention Professional | 1101 W Oakdale Dr, Fort Wayne, IN 46807-1747 | 2019-08-09 |
| 1932648839 | Greta Slabach | Prevention Professional | 205 Southern Cross Dr, Middlebury, IN 46540 | 2017-02-13 |
| 1417492281 | Carlos Bastardo | Prevention Professional | 11191 Shadylane Dr, Plymouth, IN 46563-8623 | 2017-01-03 |
| 1649705823 | Nathan Reep | Prevention Professional | 4201 S Washington St, Marion, IN 46953-4974 | 2017-04-26 |
| 1952833022 | Stephanie Bell | Prevention Professional | 2804 55th Pl, Suite C, Indianapolis, IN 46220-3585 | 2017-03-29 |
| 1134667900 | Ethan James | Prevention Professional | 515 Read St, Evansville, IN 47710-1739 | 2017-02-01 |
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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.