JENNIFER PELLEY (NPI# 1972104461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972104461 |
| Entity Type | Individual |
| Full Name | JENNIFER PELLEY |
| Practice Address |
8607 E Us Highway 36 Ste 100 Avon IN 46123-7960 |
| Practice Telephone | 3177455403 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
28182943A | IN | Nursing Service Providers |
| Street Address |
8607 E US HIGHWAY 36 STE 100 |
| City | AVON |
| State | IN |
| Zip Code | 46123-7960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467553149 | Christopher M Wilson | Psychiatry & Neurology | 8607 E Us Highway 36 Ste 100, Avon, IN 46123 | 2006-09-26 |
| 1457983579 | Robin Lynn Shaver | Nurse Practitioner | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2020-02-06 |
| 1659756484 | Matthew Nettleman | Family Medicine | 8607 E Us Highway 36 Ste 100, Avon, IN 46123 | 2015-07-22 |
| 1184009961 | Tara E. Kegeris | Nurse Practitioner | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2015-07-22 |
| 1528490224 | Christina M Mcclain | Physician Assistant | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2013-08-05 |
| 1215252754 | Daniel Kevin Storey | Family Medicine | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2010-03-27 |
| 1437318706 | Abbie M Tolliver | Internal Medicine | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2008-06-03 |
| 1437368479 | Praveen C Perni | Orthopaedic Surgery | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2007-05-22 |
| 1194808436 | Mark Benson | Family Medicine | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2006-10-23 |
| 1497844393 | Mary Schmoll | Nurse Practitioner | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982264776 | Heather Quinn Cassidy-drain | Registered Nurse | 2455 Stonefield Dr, Avon, OH 44011-4706 | 2019-06-14 |
| 1508363755 | Sharon M Gauthier | Registered Nurse | 30 Tower Ln Ste 120, Avon, CT 06001-4264 | 2018-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786005 | Jennifer Goettemoeller | Registered Nurse | 748 Walkabout Cir N Apt 2c, Carmel, IN 46032-5696 | 2020-10-08 |
| 1649827809 | Lauren Marie Ema | Registered Nurse | 731 77th Ave, Dyer, IN 46311-2305 | 2019-08-22 |
| 1780243972 | Zachary Eppert | Registered Nurse | 1919 E 52nd St, Indianapolis, IN 46205-1377 | 2019-06-11 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1508394792 | Amanda Diane Anderson | Registered Nurse | 2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176-8581 | 2017-06-01 |
| 1184160608 | Sarah Ann Battista | Registered Nurse | 1250 N State Ave, Indianapolis, IN 46201-1162 | 2017-01-07 |
| 1881035632 | Michelle Funk | Registered Nurse | 913 S Westhill Ct, Bloomington, IN 47403-2119 | 2013-07-09 |
| 1457605511 | Cynthia Denise Nanavaty | Registered Nurse | 6525 E 82nd St Ste 210-j, Indianapolis, IN 46250-1545 | 2012-10-28 |
| 1770855835 | Jeanine Marie Kuna | Registered Nurse | 320 S Saint Joseph St, Suite 300, South Bend, IN 46601-2308 | 2012-02-06 |
| 1497994024 | Vicki Jo Hazlewood | Registered Nurse | 4315 S 950 E, Lafayette, IN 47905-9447 | 2009-02-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JENNIFER PELLEY.
| 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.