KAY L. CHURCH FNP
NPI 1699972976
Nurse Practitioner - Family in Warsaw, IN

Active since June 29, 2007
1205 PROVIDENT DR STE A, WARSAW, IN 46580(574) 371-2578(574) 371-2580 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2021, Jul 15, 2020, Dec 19, 2016 and 1 more (4 updates tracked since 2016).

About Kay L. Church Fnp NPPES

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

KAY L. CHURCH FNP (NPI 1699972976) is an individual family provider in Warsaw, Indiana, licensed in Indiana (71002398A) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1699972976
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAY L. CHURCHCredential: FNP
Location Address1205 PROVIDENT DR STE AWarsaw, IN 46580-3265
Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3513 · Fax (260) 479-3520
Fax(574) 371-2580
Sole ProprietorNo
Enumeration DateJune 29, 2007
Last NPPES UpdateSeptember 22, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2021
NPI 1699972976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71002398A
1205 PROVIDENT DR STE A, Warsaw, IN 46580

Other Identifiers 1

Medicaid200874080IN

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
1205 PROVIDENT DR STE A
WARSAW, IN 46580
Physician Assistant
1205 PROVIDENT DR STE A
WARSAW, IN 46580
Internal Medicine (Gastroenterology)
1205 PROVIDENT DR STE A
WARSAW, IN 46580
Internal Medicine
1205 PROVIDENT DR STE A
WARSAW, IN 46580
Nurse Practitioner (Family)
1205 PROVIDENT DR STE A
WARSAW, IN 46580

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 Kay Church's NPI number?

The NPI number for Kay Church is 1699972976. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Kay Church located?

Kay Church practices at 1205 Provident Dr Ste A, Warsaw, IN 46580. The listed phone number is (574) 371-2578.

What is Kay Church's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kay Church was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.