Provider Demographics
NPI:1427723444
Name:BELL MCPEEK, CAREAH ELIZABETH
Entity type:Individual
Prefix:
First Name:CAREAH
Middle Name:ELIZABETH
Last Name:BELL MCPEEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4323 STUBBINGTON LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46239-8025
Mailing Address - Country:US
Mailing Address - Phone:317-910-0295
Mailing Address - Fax:
Practice Address - Street 1:COMMUNITY HEALTH PAVILION WASHINGTON
Practice Address - Street 2:7910 E WASHINGTON STREET SUITE 110
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219
Practice Address - Country:US
Practice Address - Phone:800-777-7775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-11
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71011331A363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
INQ00288110OtherRAILROAD MEDICARE
IN71011331AOtherINDIANA NURSING BOARD- APRN PRESCRIPTIVE AUTHORITY
IN71011331BOtherINDIANA NURSING BOARD- CSR PRESCRIPTIVE AUTHORITY
IN28226982AOtherINDIANA NURSING BOARD- RN LICENSE