KIMBERLEY L JELINEK ALLEN (NPI# 1841543543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841543543 |
| Entity Type | Individual |
| Full Name | KIMBERLEY L JELINEK ALLEN |
| Other Name | KIMBERLEY L JELINEK |
| Credential | FNP |
| Practice Address |
8050 Township Line Rd Indianapolis IN 46260-2478 |
| Mailing Address |
10330 N Meridian St # 300 Indianapolis IN 46290-1024 |
| Practice Telephone | 3174158500 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 71004188A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71004188A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PIN | 000001141160 | 01 |
| IN | 201114680 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5177 Mccarty Ln, Lafayette, IN 479058764 | 7654488000 | 7654488544 |
| Street Address |
8050 TOWNSHIP LINE RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-2478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366441255 | Joy Elizabeth Boake | Nurse Practitioner | 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 2005-07-21 |
| 1962982215 | Kelly Krantz Hassman | Occupational Therapist | 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 2018-08-16 |
| 1740771120 | Jeannette Lee Gould | Nurse Practitioner | 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 2018-05-22 |
| 1164887618 | Deborah A Masiak | Nurse Practitioner | 8050 Township Line Rd, Indianapolis, IN 46260 | 2015-12-29 |
| 1043607369 | Brandon Anderson | Nurse Practitioner | 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 2015-04-24 |
| 1962893230 | Stephanie Strouse | Nurse Practitioner | 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 2015-02-09 |
| 1154737021 | Austin Grant Goodman | Registered Nurse | 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 2014-07-10 |
| 1114179900 | Ashley Sparks | Nurse Practitioner | 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 2008-10-13 |
| 1164524153 | David R Speer | Nurse Practitioner | 8050 Township Line Rd, St. Vincent Physician Network, Indianapolis, IN 46260-2478 | 2006-09-01 |
| 1629093703 | Kirk A Reed | Physician Assistant | 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1922614965 | Children Express Care Clinic LLC | Nurse Practitioner | 5435 Emerson Way Ste 110, Indianapolis, IN 46226-1470 | 2020-09-16 |
| 1255956272 | Heather Nicole Zore | Nurse Practitioner | 9240 N Meridian St Ste 225, Indianapolis, IN 46260-1880 | 2020-06-15 |
| 1457976615 | Adam Weir | Nurse Practitioner | 960 E Washington St, Indianapolis, IN 46202-3981 | 2020-06-13 |
| 1457975740 | Ayee Teah Bleemie | Nurse Practitioner | 429 E Vermont St Ste 100, Indianapolis, IN 46202-3688 | 2020-06-02 |
| 1689294357 | May Josefa Ishikawa | Nurse Practitioner | 705 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5109 | 2020-04-22 |
| 1760001200 | John Shaver | Nurse Practitioner | 3750 N Meridian St Ste 100, Indianapolis, IN 46208-4300 | 2020-04-14 |
| 1851931000 | Robin L Petit | Nurse Practitioner | 6925 S Harding St Ste B-1, Indianapolis, IN 46217-4114 | 2020-01-15 |
| 1952941577 | Andreya Beckett | Nurse Practitioner | 3500 Depauw Blvd Ste 1041, Indianapolis, IN 46268-6125 | 2020-01-11 |
| 1053950105 | Shannon Malecki | Nurse Practitioner | 550 University Blvd Ste 5630, Indianapolis, IN 46202-5149 | 2020-01-06 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on KIMBERLEY L JELINEK ALLEN.
| 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.