Kalyn Synesael

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71010421A Issued in IN

Practice address

156 Sagamore Pkwy W
West Lafayette, IN 47906-1569

Phone

(765) 204-1122

Fax

(765) 205-8322

NPI assigned

Nov 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kalyn.synesael@293173640429572.direct.elationemr.com

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

• Indiana Spine Group, PC

  • Orthopaedic Surgery of the Spine Physician
  • Carmel, IN
  • NPI 1609960046

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1573862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1689219354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 SAGAMORE PKWY W",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061569",
            "telephone_number": "765-204-1122",
            "fax_number": "765-205-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 SAGAMORE PKWY W",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061569",
            "telephone_number": "765-204-1122",
            "fax_number": "765-205-8322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 S Brady St",
            "address_purpose": "LOCATION",
            "city": "Attica",
            "state": "IN",
            "postal_code": "479181719",
            "country_code": "US",
            "telephone_number": "765-299-7214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYNESAEL",
        "first_name": "KALYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-16",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28226867A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010421A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alayne K Sundstrom, DO
• Susannah Devault
• Jesse G Swopes
• Donald L Swoverland, D.D.S.
• Evelyn Sylla, LAT, ATC
• Farah Farid Synthia
• Charity Elizabeth Tabol, PH.D.
• Takt, LLC
• Nikisha P Talati
• Mary Tarbox, NP

• Nurse Practitioner in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.