HEATHER DANIELLE WALDEMAR


Address: 2600 W Main St, Belleville, IL 62226-6651
Phone: 2083802769

HEATHER DANIELLE WALDEMAR (NPI# 1043868193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043868193
Entity Type Individual
Full Name HEATHER DANIELLE WALDEMAR
Practice Address 2600 W Main St
Belleville
IL 62226-6651
Practice Telephone 2083802769
Enumeration Date 2019-09-03
Last Update Date 2019-09-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 2600 W MAIN ST
City BELLEVILLE
State IL
Zip Code 62226-6651

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780233544 Hailey Nicole Erdman Specialist/Technologist 2600 W Main St, Belleville, IL 62226-6651 2019-09-04
1588212583 Sydney Christine Kremer Specialist/Technologist 2600 W Main St, Belleville, IL 62226-6651 2019-09-03
1952959009 Diana Nicole Shamroski Student in an Organized Health Care Education/Training Program 2600 W Main St, Belleville, IL 62226-6651 2019-09-03
1174171201 Payton Michelle Curtis Specialist/Technologist 2600 W Main St, Belleville, IL 62226-6651 2019-09-02
1851826481 Lauren Randazzo Specialist/Technologist 2600 W Main St, Belleville, IL 62226-6651 2017-04-20
1700310026 Seth Vilas Specialist/Technologist 2600 W Main St, Belleville, IL 62226-6651 2017-04-13
1043743545 Tim Woodstock Specialist/Technologist 2600 W Main St, Belleville, IL 62226-6651 2017-04-11
1316499155 Lindenwood University-belleville Orthopaedic Surgery 2600 W Main St, Belleville, IL 62226-6651 2016-10-27
1548613300 Stephen Curtis Wilkerson Specialist/Technologist 2600 W Main St, Belleville, IL 62226-6651 2016-07-18
1699127720 Jenalee Cologna Specialist/Technologist 2600 W Main St, Belleville, IL 62226-6651 2016-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639778160 Roxanna Lee Gunnels Nurse Practitioner 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 2020-10-26
1053969790 Consistent Medical Transportation Driver 2012 N 17th St, Swansea, IL 62226 2019-08-27
1497314371 Medi-plex Hospice of Illinois, LLC Registered Nurse 8 Park Place, Suite #3, Swansea, IL 62226 2019-06-13
1336617364 Nicole Renee Schmidt Speech-Language Pathologist 150 N 27th St., Belleville, IL 62226 2018-11-07
1295258903 Catherine Espino Pharmacist 11 Chambers Blvd, Swansea, IL 62226 2017-07-25
1366806838 Kiley Faires Nurse Practitioner 4600 Memorial Drive Ste 360, Belleville, IL 62226 2016-04-11
1760857585 Mvp Transportation Non-emergency Medical Transport (VAN) 1229 N 17th Street, Number 23, Belleville, IL 62226 2015-12-04
1275952566 Aisha Danyale Franklin Internal Medicine 4261 Woodfield Pl, Belleville, IL 62226 2014-04-15
1396168332 Jayne E. Ninness Physical Therapy Assistant 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 2014-01-28
1053758193 Gateway Foundation, Inc. Clinic/Center 1 Bronze Point, Suite 1, Swansea, IL 62226 2013-05-30
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992327951 Emily Fuhler Student in an Organized Health Care Education/Training Program 1681 Shadow Ridge Ct Apt 2, Belleville, IL 62221-3901 2020-05-13
1902428444 Tamara Morgan-boyd Student in an Organized Health Care Education/Training Program 6000 W Main St, Belleville, IL 62223-4402 2020-05-07
1649891995 Brooke Elise Sisk Student in an Organized Health Care Education/Training Program 308 S Charles St Apt A, Belleville, IL 62220-2241 2020-04-28
1568902831 Jennifer Ruth Hood Student in an Organized Health Care Education/Training Program 35 Dewitt Ave, Belleville, NJ 07109-2507 2017-03-06
1548637721 Michele Renne Tomaszewski Student in an Organized Health Care Education/Training Program 9460 Dalton Dr, Belleville, MI 48111-1686 2015-08-24
1477960789 Esther Garrido Student in an Organized Health Care Education/Training Program 29 Davidson St, Belleville, NJ 07109-3207 2014-07-18
1518373737 Kamel Munther Massarweh Student in an Organized Health Care Education/Training Program 841 Main St Apt C, Belleville, NJ 07109-3435 2014-07-08
1962605782 Jason Christopher Mccarthy Student in an Organized Health Care Education/Training Program 180 S 3rd St Ste 400, Belleville, IL 62220-1952 2007-06-08
1104455609 Kane Laks Student in an Organized Health Care Education/Training Program 1121 Bell West Blvd, Belleville, WI 53508 2020-04-06
1043849540 Brian Kenealy Student in an Organized Health Care Education/Training Program 1121 Bell West Blvd, Belleville, WI 53508 2020-04-06
Find all providers in BELLEVILLE

Competitor

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City BELLEVILLE
Zip Code 62226

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Dataset Information

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.

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