Anneliese Lauren Kucela

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

201 E Rudisill Blvd Ste B100
Fort Wayne, IN 46806-1738

Phone

(260) 255-3665

NPI assigned

Aug 25, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1366359408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 BLOSSOM DR APT 4",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465444458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E RUDISILL BLVD STE B100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468061738",
            "telephone_number": "260-255-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCELA",
        "first_name": "ANNELIESE",
        "middle_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Louise Kruse, PA-C
• Heidi Kruse
• Scott Kruse
• KS Tko Anesthesia
• Madeline Ku
• Faith Kuder
• Halie H Kudumula, NNP-BC
• Ravi Kudumula, M.D.
• Renee C Kuess, PHARMD
• Christina W Kuhn, FNP-C

• Behavior Technician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.