Kaitlyn Brooke Smith, NP | |
5165 Mccarty Ln, Lafayette, IN 47905-8764 | |
(574) 583-1785 | |
Not Available |
Full Name | Kaitlyn Brooke Smith |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5165 Mccarty Ln, Lafayette, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598306037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 903530 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71012905A (Indiana) | Primary |
Entity Name | Indiana University Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Mailing Address | Practice Location Address |
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Kaitlyn Brooke Smith, NP 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Kaitlyn Brooke Smith, NP 5165 Mccarty Ln, Lafayette, IN 47905-8764 Ph: (574) 583-1785 |
Abigail Ann Crum, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
Kimbra Weesner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 Tippecanoe St, Lafayette, IN 47904 Phone: 765-423-6400 | |
Mrs. Cecilia Ann Winkler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5500 State Road 38 E, Lafayette, IN 47905 Phone: 765-449-6790 Fax: 765-772-7113 | |
Harmony Stine, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl Ste 355, Lafayette, IN 47905 Phone: 765-807-7988 Fax: 765-807-7989 | |
Monica Michele Roadruck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3218 Daugherty Dr Ste 140, Lafayette, IN 47909 Phone: 765-502-4190 Fax: 765-502-4191 | |
Julie J Debord, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Venice Michele Jarrett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8100 |