MRS. SHANNON MARIE HEITMILLER (NPI# 1033646807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033646807 |
Entity Type | Individual |
Full Name | MRS. SHANNON MARIE HEITMILLER |
Credential | OTR |
Practice Address |
1260 N 17th St Lafayette IN 47904-2163 |
Practice Telephone | 7654236885 |
Practice Fax Number | 7654236099 |
Mailing Telephone | 7654236885 |
Mailing Fax Number | 7654236099 |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
30012351A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1260 N 17TH ST |
City | LAFAYETTE |
State | IN |
Zip Code | 47904-2163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396044392 | Greater Lafayette Health Services | Durable Medical Equipment & Medical Supplies | 1260 N 17th St, Lafayette, IN 47904-2163 | 2011-03-17 |
1629560040 | Elena Ann Robinson | Specialist/Technologist | 1260 N 17th St, Lafayette, IN 47904 | 2018-06-01 |
1225542707 | Stephanie Hays | Physical Therapist | 1260 N 17th St, Lafayette, IN 47904-2163 | 2017-11-20 |
1437674363 | Abigail Jean Mcclintock | Specialist/Technologist | 1260 N 17th St, Lafayette, IN 47904-2163 | 2017-08-11 |
1417486457 | Anne M Wuebker | Physical Therapist | 1260 N 17th St, Lafayette, IN 47904-2163 | 2017-06-05 |
1689103624 | Elizabeth Susan Cornell | Physical Therapy Assistant | 1260 N 17th St, Lafayette, IN 47904-2163 | 2017-06-05 |
1740716802 | Adam Ewald | Occupational Therapist | 1260 N 17th St, Lafayette, IN 47904-2163 | 2017-05-11 |
1477089522 | Angela Marie Polmateer | Occupational Therapist | 1260 N 17th St, Lafayette, IN 47904-2163 | 2017-05-11 |
1073049383 | Nichole Schmidt | Physical Therapist | 1260 N 17th St, Lafayette, IN 47904-2163 | 2017-05-05 |
1144756453 | Kirsten Zambon | Physical Therapist | 1260 N 17th St, Lafayette, IN 47904-2163 | 2017-05-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
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Taxonomy Code | 225XH1200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Hand |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679877856 | Tiffany M Asbury | Occupational Therapist | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2011-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720427628 | Angela Christine Drury | Occupational Therapist | 221 Day Road, Mishawaka, IN 46545-1401 | 2013-06-24 |
1700169067 | Elizabeth Christoffel | Occupational Therapist | 5510 W. Lincoln Hwy., Schererville, IN 46375 | 2011-09-23 |
1891076485 | Shirley Kay Drier | Occupational Therapist | 721 N 13th St, Decatur, IN 46733-1119 | 2011-09-08 |
1285646810 | Christine M Habas | Occupational Therapist | 9250 Columbia Ave Ste 1f, Munster, IN 46321-3530 | 2006-08-12 |
1215966171 | Northwest Indiana Hand & Pt | Occupational Therapist | 605 Mccord Rd, Valparaiso, IN 46383-3646 | 2006-07-02 |
1548242043 | Manoj Kumar | Occupational Therapist | 611 E Douglas Road, Suite 108, Mishawaka, IN 46545 | 2005-11-18 |
1043760291 | Alan Bunch | Occupational Therapist | 1185 W Carmel Dr Bldg C, Carmel, IN 46032-8708 | 2016-10-12 |
1477856243 | Theresa Wiegand-swihart | Occupational Therapist | 639 S Walker St, Suite E, Bloomington, IN 47403-2123 | 2010-12-16 |
1073844072 | Todd E Meller | Occupational Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280-1393 | 2010-01-15 |
1346413697 | Jennifer Lynn Christie | Occupational Therapist | 1992 E Stop 13 Rd, Indianapolis, IN 46227-6267 | 2008-04-08 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.