MRS. ANDREA NICOLE HEBERT (NPI# 1063601607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063601607 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA NICOLE HEBERT |
| Credential | PA-C |
| Practice Address |
2331 Franklin Rd Sw Roanoke VA 24014-1111 |
| Practice Telephone | 5407251226 |
| Practice Fax Number | 5408575306 |
| Mailing Telephone | 5407251226 |
| Mailing Fax Number | 5408575306 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2016-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0110002647 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0110002647 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM MEDIGAP | 1063601607 | 01 |
| VA | HUMANA MEDICARE | 1063601607 | 01 |
| VA | UMWA | 1063601607 | 01 |
| VA | MEDICAID QMB | 1063601607 | 01 |
| VA | OPTIMA HEALTH PLAN | 1063601607 | 01 |
| VA | TRICARE/CHAMPUS | 540506332115 | 01 |
| VA | RAILROAD MEDICARE | P00834686 | 01 |
| VA | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY | 1063601607 | 01 |
| VA | INTOTAL | 1063601607 | 01 |
| VA | AETNA | 1063601607 | 01 |
| VA | BLACK LUNG | 1063601607 | 01 |
| VA | CCC VIRGINIA PREMIER | 1063601607 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518203660 | Andrea M Hebert | Social Worker | 116 Marie St, Scott, LA 70583-5682 | 2012-12-18 |
| 1265559017 | Andrea Marie Hebert | Dietitian, Registered | 505 West Hollis Street, Suite 106, Nashua, NH 03063-1019 | 2007-03-26 |
| 1598323792 | Andrea R Hebert | Physical Medicine & Rehabilitation | 1534 E Ray Rd Ste 104, Gilbert, AZ 85296-4429 | 2019-06-03 |
| 1053610709 | Andrea Michelle Hebert | Otolaryngology | 1400 Locust St, Building D, Suite 2100, Pittsburgh, PA 15219-5114 | 2011-03-21 |
| 1437189594 | Andrea Juliet Hebert | Obstetrics & Gynecology | 333 S 900 E, Salt Lake City, UT 84102-2310 | 2006-07-04 |
| Street Address |
2331 FRANKLIN RD SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134113335 | Daniel P Moore | Physical Medicine & Rehabilitation | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2005-09-02 |
| 1639717093 | Quin Sweeney | Nurse Practitioner | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2019-12-17 |
| 1518522952 | Kelsey Mcwey | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2019-05-01 |
| 1275041527 | Jennifer Caroline Dudley | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-19 |
| 1801304407 | Tyler Bryce Kemp | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-17 |
| 1508374232 | Hope Anna Marie Poetker | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-16 |
| 1730695990 | Tabitha Saunders | Specialist/Technologist | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-12-22 |
| 1730692591 | Eric Olsen | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-11-14 |
| 1205345097 | Kathryn Sandifer | Nurse Practitioner | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-09-25 |
| 1841718871 | Brooke Ellyn Martin | Specialist/Technologist | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679013536 | S4 Sand Pllc | Physician Assistant | 3909 Yarberry Ct, Roanoke, TX 76262-3355 | 2017-02-26 |
| 1952780496 | Laura Rosalie Tiffany-harrod | Physician Assistant | 14636 Shave Lake Drive, Roanoke, TX 76262 | 2015-05-28 |
| 1770832388 | Hillery Gabrielle Key | Physician Assistant | 13709 Ponderosa Ranch Rd, Roanoke, TX 76262-4535 | 2012-08-29 |
| 1275041527 | Jennifer Caroline Dudley | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-19 |
| 1801304407 | Tyler Bryce Kemp | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-17 |
| 1194231449 | Chelsea Behetherland Greenspan | Physician Assistant | 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 | 2017-12-22 |
| 1548708670 | Mackenzie Meador Patterson | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-02-09 |
| 1013454776 | Kathryn Conrad Hoyt | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-01-19 |
| 1578009775 | Kathryn Lyon Tolmie | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-01-11 |
| 1518401272 | Brian Buccola | Physician Assistant | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2016-12-14 |
| Find all providers in ROANOKE | ||||
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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.