KAITLYN JOY CHITTICK-MYERS (NPI# 1790301257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790301257 |
| Entity Type | Individual |
| Full Name | KAITLYN JOY CHITTICK-MYERS |
| Credential | PMHNP |
| Practice Address |
750 Chestnut St Wabash IN 46992-3459 |
| Practice Telephone | 2605717934 |
| Mailing Telephone | 2605717934 |
| Enumeration Date | 2020-06-21 |
| Last Update Date | 2020-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
28224996A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
750 CHESTNUT ST |
| City | WABASH |
| State | IN |
| Zip Code | 46992-3459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289169 | Vdp Wabash LLC | Dentist | 278 Manchester Ave., 278 Manchester Ave., Wabash, IN 46992 | 2020-06-10 |
| 1639793870 | Bryan Schmidt | Dentist | 1639 North Cass St, Wabash, IN 46992 | 2020-06-03 |
| 1295279321 | Neil Bever | Chiropractor | 60 West Hill Street, Wabash, IN 46992 | 2016-12-08 |
| 1215393566 | Joshua Ruiz | Counselor | 225 N. Miami Street, Wabash, IN 46992 | 2015-12-31 |
| 1144564626 | Witham Memorial Hospital | Skilled Nursing Facility | 20 John Kissinger Dr, Wabash, IN 46992 | 2012-11-21 |
| 1699041277 | Matthew Richard Riggle | Counselor | 5233 South 50 East, White's Residential and Family Services, Wabash, IN 46992 | 2012-03-28 |
| 1447543541 | Nathan Steven Holley | Chiropractor | 508 North Wabash Street, Wabash, IN 46992 | 2011-05-23 |
| 1700958360 | Robert Mattern Dds | Dentist | 999 Manchester Ave, Wabash, IN 46992 | 2006-11-15 |
| 1154416709 | Tim J Mcvicker | Counselor | 255 N. Miami St., Wabash, IN 46992 | 2006-10-03 |
| 1841395571 | David Lee Frischman | Chiropractor | 508 N Wabash St, Wabash, IN 46992 | 2006-09-14 |
| Find all providers in zip 46992 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548769490 | Cinnamon Lee Carlson | Nurse Practitioner | 255 N Miami St, Wabash, IN 46992-2705 | 2018-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875669 | Brooke Lavignette | Nurse Practitioner | 1805 Summit Dr, West Lafayette, IN 47906-2231 | 2020-09-15 |
| 1205444775 | Anu Abraham Ade Owofadeju | Nurse Practitioner | 8820 S Meridian St Ste 225, Indianapolis, IN 46217-6064 | 2020-07-21 |
| 1356959068 | Indy Behavioral Health LLC | Nurse Practitioner | 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069 | 2020-07-20 |
| 1942833306 | Osasumwen Igbinoba | Nurse Practitioner | 402 Wall St Ste 23, Valparaiso, IN 46383-2567 | 2020-02-13 |
| 1770114118 | Abbey Bolden | Nurse Practitioner | 929 Miller Ct, Greenfield, IN 46140-7267 | 2020-02-03 |
| 1376184556 | Carrie Mefford | Nurse Practitioner | 5435 E 16th St, Indianapolis, IN 46218-4869 | 2019-09-30 |
| 1700430006 | Lusine Vardanyan | Nurse Practitioner | Memorial Hospital and Health Care Center, 800 W 9th Street, Jasper, IN 47546-2514 | 2019-07-25 |
| 1134780851 | Eric Lyakhovetsky | Nurse Practitioner | 327 W Saidah Rd, Bloomington, IN 47404-8965 | 2019-06-24 |
| 1124599394 | Adria Dawn Thornburgh | Nurse Practitioner | 6235 Forest View Dr, Indianapolis, IN 46260-4707 | 2018-12-16 |
| 1033693213 | Katie Marie Feeney | Nurse Practitioner | Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 | 2018-09-24 |
| Find all providers with the same taxonomy | ||||
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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.