Kayla Teives, NP-C
Individual provider Active NPI Family Nurse Practitioner · Clarksville, IN
NPI 1124565239 · NPPES record last updated Mar 6, 2019
Key facts
- NPI
- 1124565239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71006919A (IN)
- Practice address
- 305 E Lewis and Clark Pkwy
Clarksville, IN 47129-1758 - Phone
- (812) 590-7230
- NPI assigned
- Jan 26, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lifespring, Inc
Practice addresses (Care Compare)
1036 Sharon Dr
Jeffersonville, IN 47130-4522
Phone (812) 280-6606
1060 Sharon Dr
Jeffersonville, IN 47130-4522
Phone (812) 283-7116
Hospital & facility affiliations
- Norton Clark Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170303001011 | IN | Practitioner - Nurse Practitioner | 8022392455 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71006919A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespring, Inc | Current |
Accepting new patients | |
| Lifespring, Inc | Current |
Accepting new patients | |
| Lifespring, Inc | Current | Accepting new patients | |
| Lifespring Inc | Past | Accepting new patients |
Locations
480 Eversman Dr
Jasper, IN 47546
Phone (812) 482-3020
480 Eversman Dr
Ste 1
Jasper, IN 47546
404 Spring St
Jeffersonville, IN 47130
Phone (812) 206-1303
1036 Sharon Dr
Jeffersonvlle, IN 47130
Phone (812) 258-9281
460 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-3583
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71006919A | IN | Yes |
Addresses
Primary practice location
305 E Lewis and Clark Pkwy
Clarksville, IN 47129-1758
Mailing address
2620 Elm Hill Pike
Nashville, TN 37214-3108
Other providers in Clarksville, IN
- Haruka Takahashi
- Daisy E Tawiah
- Constance May Taylor
- Olivia Jolie Taylor
- Team Sharp LLC
- Rachelle Terry
- The Commitment House LLC
- The Health and Hospital Corporation of Marion County
- The Health and Hospital Corporation of Marion County
- Jessica A Theis
All providers in Clarksville, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.