Kayla Jealea Hamstra, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

71006566A Issued in IN

Practice address

901 Prince William Rd
Delphi, IN 46923-1758

Phone

(765) 564-3016

NPI assigned

Sep 22, 2016

Last updated

Sep 22, 2016By the provider in NPPES

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kayla.hamstra.1@29127.direct.athenahealth.com

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.

• Trustees of Purdue University

  dba M D Steer Audiology & Speech-Language Clinics

  • Hearing and Speech Clinic/Center
  • West Lafayette, IN
  • NPI 1619055712
  Medicare reassignment NPD
• Trustees of Purdue University

  dba Family Health Clinic of Carroll County

  • Federally Qualified Health Center (FQHC)
  • Delphi, IN
  • NPI 1477549731
  NPD
• Trustees of Purdue University

  dba Family Health Clinic of Wolcott

  • Federally Qualified Health Center (FQHC)
  • Wolcott, IN
  • NPI 1598111791
  NPD
• Purdue University

  dba Purdue University Student Health Center

  • Student Health Clinic/Center
  • West Lafayette, IN
  • NPI 1346239696
  NPD (past)
• Trustees of Purdue University

  dba Family Health Clinic of Burlington

  • Federally Qualified Health Center (FQHC)
  • Burlington, IN
  • NPI 1295104669
  NPD (past)
• Trustees of Purdue University

  dba Family Health Clinic of Monon

  • Federally Qualified Health Center (FQHC)
  • Monon, IN
  • NPI 1871794826
  NPD (past)

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1568911360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PRINCE WILLIAM RD",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469231758",
            "telephone_number": "765-564-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PRINCE WILLIAM RD",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469231758",
            "telephone_number": "765-564-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMSTRA",
        "first_name": "KAYLA",
        "middle_name": "JEALEA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71006566A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin John Ema, FNP-C
• Kristin Fleming, PHARMD
• Franciscan Communities, Inc. (St. Elizabeth Healthcare Center)
• Julian Leandro Gallegos, PHD, MBA, FNP-BC
• Leah Gwin, APN
• Jennifer L Hendrickson, MS-SLP
• Melinda Hendrix
• Jean M Herd, CFNP
• Hook-Superx LLC (CVS Pharmacy #06674)
• Stephanie Hostetler

• Pediatric Nurse Practitioner in Delphi, IN
• Providers in Delphi, IN by specialty
• Pediatric Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.