Active NPI
Chelsi Kitchen
- Physical Medicine & Rehabilitation Physician
- Greenwood, IN
National Provider Identifier
1558877241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 05012586A
- Practice address
- 1260 Innovation Pkwy
Greenwood, IN 46143-3601 - Phone
- (317) 697-5551
- NPI assigned
- Dec 18, 2017
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 05012586A | IN | Primary |
Addresses
Primary practice location
1260 Innovation Pkwy
Greenwood, IN 46143-3601
Mailing address
8831 Buckeye Dr Apt 423
Indianapolis, IN 46237-9807
Other practice location 1
2801 Fairview Pl Ste A
Greenwood, IN 46142-1339
Phone (317) 697-5551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05012586A | IN | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1558877241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8831 BUCKEYE DR APT 423",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462379807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 INNOVATION PKWY",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461433601",
"telephone_number": "317-697-5551"
}
],
"practiceLocations": [
{
"address_1": "2801 Fairview Pl Ste A",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "IN",
"postal_code": "461421339",
"country_code": "US",
"telephone_number": "317-697-5551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KITCHEN",
"first_name": "CHELSI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IN",
"license": "05012586A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.