Stacey Glen Kahre, RN, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

71001222A Issued in IN

Practice address

8601 N. Kentucky Ave
Suite I
Evansville, IN 47725-6371

Phone

(812) 491-6772

Fax

(812) 491-0758

NPI assigned

Feb 19, 2007

Last updated

May 12, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Functional Health, LLC

  dba Midwest Skin Institute

  • Primary Care Clinic/Center
  • Evansville, IN
  • NPI 1922237536
  Authorized official Same address or phone
• Emergency Medicine Physicians of Vanderburgh County, PC

  • Emergency Medicine Physician
  • Evansville, IN
  • NPI 1063451946
  NPD (past)
• McCleary Chiropractic Clinic PC

  • Chiropractor
  • Evansville, IN
  • NPI 1912297318
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1396889598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 N. KENTUCKY AVE",
            "address_2": "SUITE I",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477256371",
            "telephone_number": "812-491-6772",
            "fax_number": "812-491-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 N. KENTUCKY AVE",
            "address_2": "SUITE I",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477256371",
            "telephone_number": "812-491-6772",
            "fax_number": "812-491-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHRE",
        "first_name": "STACEY",
        "middle_name": "GLEN",
        "credential": "RN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "71001222A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathew John Kachel, DC
• Francis Joseph Kadiyamkuttiyil, M.D.
• Kelly Denise Kaelin, AMSA
• Cathy Jo Kahre, RN
• Julie D. Kahre, LCSW
• Kairos Elysian LLC
• Anthony David Kaiser, M.D.
• Saeed Kalantari
• Elizabeth Ann Kalb, PH.D.
• Monica Kalia, OD

• Primary Care Nurse Practitioner in Evansville, IN
• Providers in Evansville, IN by specialty
• Primary Care Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.