CALLIE DEE DURHAM (NPI# 1972878965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972878965 |
| Entity Type | Individual |
| Full Name | CALLIE DEE DURHAM |
| Other Name | CALLIE DEE KITTLESON |
| Credential | APRN |
| Practice Address |
207 Sparks Ave Suite 301 Jeffersonville IN 47130-3739 |
| Practice Telephone | 8122807063 |
| Practice Fax Number | 8122188557 |
| Mailing Telephone | 8122807063 |
| Mailing Fax Number | 8122188557 |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2014-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
71004842A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
3007379 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | LICENSE | 71004842A | 01 |
| Street Address |
207 SPARKS AVE SUITE 301 |
| City | JEFFERSONVILLE |
| State | IN |
| Zip Code | 47130-3739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598750879 | Debra D Sehr | Registered Nurse | 207 Sparks Ave, Suite 407, Jeffersonville, IN 47130-3739 | 2005-09-13 |
| 1083098651 | Rhn Clark Memorial Physician Practices LLC | Emergency Medicine | 207 Sparks Ave, Jeffersonville, IN 47130-3739 | 2015-07-14 |
| 1043613656 | Melissa B Davidson | Registered Nurse | 207 Sparks Ave, Suite 403, Jeffersonville, IN 47130-3739 | 2014-09-28 |
| 1770821043 | Sleep Testing Services of America, Inc. | Physiological Laboratory | 207 Sparks Ave, Suite 205, Jeffersonville, IN 47130-3739 | 2013-01-22 |
| 1649547274 | Marla A Beeler | Nurse Practitioner | 207 Sparks Ave, Suite 201, Jeffersonville, IN 47130-3739 | 2011-11-28 |
| 1457636813 | E-healthcare Solutions LLC | Durable Medical Equipment & Medical Supplies | 207 Sparks Ave, Suite 003, Jeffersonville, IN 47130-3739 | 2011-10-18 |
| 1457688301 | Labone of Ohio Inc | Clinical Medical Laboratory | 207 Sparks Ave, Suite 200, Jeffersonville, IN 47130-3739 | 2009-11-13 |
| 1518127943 | Matthew Edward Hennig | Surgery | 207 Sparks Ave, Suite 201, Jeffersonville, IN 47130-3739 | 2008-06-10 |
| 1336311240 | Carrie Ann Crigger | Pediatrics | 207 Sparks Ave, Suite 403, Jeffersonville, IN 47130-3739 | 2008-03-31 |
| 1912183500 | Ryan M Missi | Nurse Practitioner | 207 Sparks Ave, Ste 403, Jeffersonville, IN 47130-3739 | 2008-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| 1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1508374299 | Kelsey Petty | Social Worker | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-01-16 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
| Find all providers in zip 47130 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083263628 | Caitlyn O'neil | Nurse Practitioner | 1319 Duncan Ave, Jeffersonville, IN 47130-3759 | 2019-09-06 |
| 1396159505 | Chelsae Anne Nugent | Nurse Practitioner | 301 Gordon Gutmann Blvd, Suite 201, Jeffersonville, IN 47130-3764 | 2014-06-16 |
| 1932158516 | Vicki Lynn Larue | Nurse Practitioner | 207 Sparks Ave, Ste 301, Jeffersonville, IN 47130-3739 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265077572 | Tara Lynette Flanagan | Nurse Practitioner | 2629 Waterfront Parkway East Dr Ste 375, Indianapolis, IN 46214-2026 | 2019-11-11 |
| 1184266827 | Bethany L. Odero | Nurse Practitioner | 550 University Blvd Ste 2041, Indianapolis, IN 46202-5149 | 2019-10-15 |
| 1487201166 | Bonnie Wellman | Nurse Practitioner | 1403 Allison Blvd, Auburn, IN 46706-3205 | 2019-08-19 |
| 1396285656 | Wendy K Carter | Nurse Practitioner | 720 Eskenazi Avenue, Suite F2-600, Eskenazi Health, Indianapolis, IN 46202 | 2017-03-06 |
| 1972042463 | Deborah Jean Dilk | Nurse Practitioner | 8067 N Oliver Ln, Dupont, IN 47231-9565 | 2017-02-16 |
| 1386183937 | Juanita Lock | Nurse Practitioner | 10051 N State Road 62, Canaan, IN 47224-9759 | 2017-02-15 |
| 1073975546 | Margaret Cockshott | Nurse Practitioner | 640 Eskenazi Ave, Fifth Third Bank Building, Indianapolis, IN 46202-5173 | 2016-03-24 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1699038430 | Aimee Leigh Anderson | Nurse Practitioner | 7120 Clearvista Dr Ste 3200, Indianapolis, IN 46256 | 2012-06-18 |
| 1104101047 | Amanda Jo Phelps | Nurse Practitioner | 4199 Gateway Blvd Ste 3500, Newburgh, IN 47630-7909 | 2011-10-11 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
Please comment or provide details below to improve the information on CALLIE DEE DURHAM.
| 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.