SUSAN KERSEY (NPI# 1871591156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871591156 |
| Entity Type | Individual |
| Full Name | SUSAN KERSEY |
| Credential | CNS |
| Practice Address |
415 N 26th St Suite 201 Lafayette IN 47904-2856 |
| Practice Telephone | 7654466535 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2012-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
70000049A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200499630 | 05 |
| Street Address |
415 N 26TH ST SUITE 201 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-2856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144830449 | Kylee Slade | Nurse Practitioner | 415 N 26th St, Lafayette, IN 47904-2895 | 2020-08-03 |
| 1063057693 | Justin Schmitt | Case Manager/Care Coordinator | 415 N 26th St, Lafayette, IN 47904-2895 | 2019-11-07 |
| 1114561792 | Amy Lind | Case Manager/Care Coordinator | 415 N 26th St, Lafayette, IN 47904-2895 | 2019-11-06 |
| 1548739527 | Kyla Ann Maxey | Case Manager/Care Coordinator | 415 N 26th St, Lafayette, IN 47904-2895 | 2018-11-19 |
| 1366927618 | Hollyann Marie Morales | Psychologist | 415 N 26th St, Lafayette, IN 47904-2895 | 2018-10-02 |
| 1326529306 | Katherine A Bolsen | Psychologist | 415 N 26th St, Lafayette, IN 47904-2895 | 2018-08-27 |
| 1164916987 | Amy Atkinson | Case Manager/Care Coordinator | 415 N 26th St, Lafayette, IN 47904-2895 | 2018-06-15 |
| 1275993909 | Valley Oaks Health Inc | Psychologist | 415 N 26th St, Lafayette, IN 47904-2895 | 2016-02-23 |
| 1568852986 | Derek Booth | Nurse Practitioner | 415 N 26th St, Suite 201, Lafayette, IN 47904-2895 | 2015-01-24 |
| 1235412156 | Kayla Ann Miller | Nurse Practitioner | 415 N 26th St, Lafayette, IN 47904 | 2011-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346308202 | Laura Beth Hawkins | Clinical Nurse Specialist | 3660 Rome Dr, Lafayette, IN 47905-4488 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457765083 | Yolanda Bray | Clinical Nurse Specialist | 8320 Madison Ave, Indianapolis, IN 46227-6066 | 2014-06-11 |
| 1578983656 | Lee G Juarez | Clinical Nurse Specialist | 8320 Madison Ave, Indianapolis, IN 46227-6066 | 2014-04-16 |
| 1841580875 | Rhonda J Palmer | Clinical Nurse Specialist | 3620 W White River Blvd, Muncie, IN 47304 | 2011-04-11 |
| 1194028696 | Pamela Joyce Stachler | Clinical Nurse Specialist | 202 Myers Rd, Danville, IN 46122-9702 | 2010-12-06 |
| 1649425844 | Bonnie L Frye | Clinical Nurse Specialist | 7 East Hendricks Street, Shelbyville, IN 46176-2124 | 2008-12-02 |
| 1164528907 | Ukamaka Marian Oruche | Clinical Nurse Specialist | 1434 Shelby St, Indianapolis, IN 46203-1945 | 2006-09-16 |
| 1598860918 | Mary Ann Bangs | Clinical Nurse Specialist | 6950 Hillsdale Court, Indianapolis, IN 46250-2040 | 2006-09-13 |
| 1437161387 | Deborah A. Stamper | Clinical Nurse Specialist | 3171 N Meridian St, Indianapolis, IN 46208-4784 | 2006-08-12 |
| 1912975699 | Judith A Goodwin | Clinical Nurse Specialist | 145 W Green Meadows Dr, Greenfield, IN 46140-4001 | 2006-03-09 |
| 1861467318 | Jane Narciso Newkirk | Clinical Nurse Specialist | 6950 Hillsdale Court, Indianapolis, IN 46250-2040 | 2006-02-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUSAN KERSEY.
| 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.