KACEY NICOLE KAELIN (NPI# 1932700572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932700572 |
| Entity Type | Individual |
| Full Name | KACEY NICOLE KAELIN |
| Practice Address |
1100 E 5th St Anderson IN 46012-3495 |
| Mailing Address |
8407 S Becks Mill Rd Salem IN 47167-8174 |
| Practice Telephone | 7656499071 |
| Mailing Telephone | 8126203132 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| N/A | 000000 | 01 |
| Street Address |
1100 E 5TH ST |
| City | ANDERSON |
| State | IN |
| Zip Code | 46012-3495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780658310 | Jason William Good | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2006-02-13 |
| 1467014035 | Ashley Downs | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2019-07-03 |
| 1366918823 | Cody Ryan Harlan | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2018-10-22 |
| 1023593548 | Philip Timothy Boor IIi | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2018-10-01 |
| 1487172268 | Tanya Michelle Whiteman | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2017-08-31 |
| 1831635747 | Ethan Thomas Frye | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2017-01-17 |
| 1104362011 | Josh Willard | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2017-01-17 |
| 1922544832 | Trevor Pruitt | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2017-01-17 |
| 1386180297 | Jarrad Buckner | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2017-01-17 |
| 1477099380 | Joseph Peck | Emergency Medical Technician, Basic | 1100 E 5th St, Anderson, IN 46012-3462 | 2017-01-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184142358 | Conduct Curb, LLC | Behavioral Analyst | 3084 Broadway Street, Anderson, IN 46012 | 2017-09-07 |
| 1336697119 | Patricia Jones | Specialist/Technologist | 1100 East 5th Street, Anderson, IN 46012 | 2016-09-21 |
| 1558689166 | Amber Marie Rose | Physical Therapy Assistant | 100 N. 16th Street, The Waters of New Castle, New Castle, IN 46012 | 2010-05-06 |
| 1457581134 | Jennifer L Stanley | Nurse Practitioner | 2976 N Scattefield Rd, Suite 101, Anderson, IN 46012 | 2009-07-16 |
| 1427291020 | Richland Township | Ambulance | 405 East 500 North, Anderson, IN 46012 | 2009-04-13 |
| 1326231408 | Jessica R Finn | Speech-Language Pathologist | 2519 E 10th St Ste A, Anderson, IN 46012 | 2007-08-22 |
| 1699974568 | Selah House, Inc | Psychiatric Hospital | 1180 N. 300 East, Anderson, IN 46012 | 2007-07-12 |
| 1619199221 | Lifetime Dental Care of Indiana, PC | Dentist | 777 Broadway, Suite A, Anderson, IN 46012 | 2007-05-03 |
| 1750423265 | Physicians Weight Loss Center | Clinic/Center | 2976 N Scatterfield Rd Suite 121, Anderson, IN 46012 | 2007-02-12 |
| 1235283102 | Gregory Robert Busing | Dentist | 1700 Broadway St, Anderson, IN 46012 | 2007-01-22 |
| Find all providers in zip 46012 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700354107 | Matthew Cantrell | Specialist/Technologist, Other | 6567 Whitestown Pkwy, Zionsville, IN 46077-7621 | 2018-11-05 |
| 1750826905 | Courtney East | Specialist/Technologist, Other | 14811 Dorset Dr, Noblesville, IN 46062-4682 | 2016-12-27 |
| 1285046664 | Timothy Slabaugh | Specialist/Technologist, Other | 4851 Deer Ridge Dr S, Carmel, IN 46033-8910 | 2014-05-20 |
| 1679855084 | Joe Gutzwiller | Specialist/Technologist, Other | 6166 Deerwood Ct, Greenwood, IN 46143-9161 | 2011-09-12 |
| 1124309141 | Ashley Stegner | Specialist/Technologist, Other | 110 Hillside Cir, Charlestown, IN 47111-1007 | 2011-09-03 |
| 1649243817 | Scott Robert Stansbury | Specialist/Technologist, Other | University of Notre Dame Athletics, Sports Medicine Room C113 Joyce Center, Notre Dame, IN 46556 | 2006-02-09 |
| 1053938910 | Deonadre Sanders Sr. | Specialist/Technologist, Other | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-06-26 |
| 1366089401 | Jessyca Mecole Batiest | Specialist/Technologist, Other | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-12-09 |
| 1518504653 | Angela Malone | Specialist/Technologist, Other | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-12-09 |
| 1942847082 | Angenean James | Specialist/Technologist, Other | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-12-09 |
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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.