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KELLY WAKEFIELD APRN.CNP
NPI 1164073557
Nurse Practitioner - Women's Health in Fort Wayne, IN

Active since September 26, 2019
2700 LAFAYETTE ST, FORT WAYNE, IN 46806(260) 702-4404(260) 744-3006 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 11, 2020, Jan 27, 2020, Sep 26, 2019 (3 updates tracked since 2019).

About Kelly Wakefield Aprn.cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY WAKEFIELD APRN.CNP (NPI 1164073557) is an individual women's health provider in Fort Wayne, Indiana, licensed in Indiana (71009784A) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1164073557
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKELLY WAKEFIELDCredential: APRN.CNP
Location Address2700 LAFAYETTE STFort Wayne, IN 46806-1100
Mailing Address2700 Lafayette StFort Wayne, IN 46806-1100 · (260) 702-4404 · Fax (260) 744-3006
Phone(260) 702-4404
Fax(260) 744-3006
Sole ProprietorNo
Enumeration DateSeptember 26, 2019
Last NPPES UpdateFebruary 11, 20203 updates tracked since enumeration
✔ NPI 1164073557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in IN · 71009784A
2700 LAFAYETTE ST, Fort Wayne, IN 46806
Open in Google Maps ↗

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAFAYETTE FOOT AND ANKLE CLINIC LLC
Podiatrist
2700 LAFAYETTE ST, SUITE 100
FORT WAYNE, IN 46806
Allen County (260) 458-9953
REBECCA KONKIN NP
Nurse Practitioner
2700 LAFAYETTE ST, STE B-10
FORT WAYNE, IN 46806
Allen County (260) 744-7004
JENNIFER SHAMBAUGH NP
Nurse Practitioner
2700 LAFAYETTE ST, STE B-10
FORT WAYNE, IN 46806
Allen County (260) 744-7004
MS. GANIT ANNA GRAY LCSW
Social Worker (Clinical)
2700 LAFAYETTE ST
FORT WAYNE, IN 46806
Allen County (260) 481-2770
DR. BENNY FAIR JR. D.P.M.
Podiatrist
2700 LAFAYETTE ST, SUITE 120
FORT WAYNE, IN 46806
Allen County (260) 458-9953
RACHAEL F. ROGERS PA
Physician Assistant
2700 LAFAYETTE ST, STE 110
FORT WAYNE, IN 46806
Allen County (260) 744-2887
KIRBY JOHNSON FNP-BC
Nurse Practitioner
2700 LAFAYETTE ST
FORT WAYNE, IN 46806
Allen County (260) 266-0780
SHARON HEATON NP
Nurse Practitioner
2700 LAFAYETTE ST, STE 110
FORT WAYNE, IN 46806
Allen County (260) 744-2887

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Wakefield's NPI number?

The NPI number for Kelly Wakefield is 1164073557. It was assigned to this individual provider in the NPPES registry on September 26, 2019.

Where is Kelly Wakefield located?

Kelly Wakefield practices at 2700 Lafayette St, Fort Wayne, IN 46806. The listed phone number is (260) 702-4404.

What is Kelly Wakefield's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Kelly Wakefield was last updated on February 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.