LINDA HETRICK (NPI# 1083807424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083807424 |
| Entity Type | Individual |
| Full Name | LINDA HETRICK |
| Credential | LPN |
| Practice Address |
207 Haven Dr Dothan AL 36301-2919 |
| Mailing Address |
2868 Acton Rd Birmingham AL 35243-2502 |
| Practice Telephone | 3347931964 |
| Practice Fax Number | 3347944131 |
| Mailing Telephone | 2059688360 |
| Mailing Fax Number | 2059688361 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 2-033531 | AL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274557 | Linda Hetrick | Pharmacist | 1330 S Providence Center Dr, Cedar City, UT 84720-3956 | 2020-10-29 |
| Street Address |
207 HAVEN DR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-2919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366403255 | Sam Carroll West | Psychiatry & Neurology | 207 Haven Dr, Dothan, AL 36301-2919 | 2006-03-30 |
| 1013551811 | Elizabeth Ann Mcfarland | Nurse Practitioner | 207 Haven Dr, Dothan, AL 36301-2919 | 2019-11-05 |
| 1033517719 | Stefanie L. Kincey | Registered Nurse | 207 Haven Dr, Dothan, AL 36301-2919 | 2014-12-12 |
| 1619264520 | Chanetta Lashan Woodham | Nurse Practitioner | 207 Haven Dr, Dothan, AL 36301-2919 | 2011-06-30 |
| 1073742953 | Nowoghomwenma Charles Ibie | Emergency Medicine | 207 Haven Dr, Dothan, AL 36301-2919 | 2009-07-13 |
| 1649462292 | Sarah Helms | Registered Nurse | 207 Haven Dr, Dothan, AL 36301-2919 | 2007-08-16 |
| 1861684862 | Judy West | Registered Nurse | 207 Haven Dr, Dothan, AL 36301-2919 | 2007-08-14 |
| 1215082136 | Billy Steve Coker | Counselor | 207 Haven Dr, Dothan, AL 36301-2919 | 2007-01-23 |
| 1104916329 | Jerome Nicholas Hire | Social Worker | 207 Haven Dr, Dothan, AL 36301-2919 | 2006-10-16 |
| 1669567608 | Melissa Holman | Registered Nurse | 207 Haven Dr, Dothan, AL 36301-2919 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508466 | Latoya Latrice White | Licensed Practical Nurse | 1636 N Brownlee St, Birmingham, AL 35207-1100 | 2020-11-02 |
| 1366068678 | Courtney L Mcpherson | Licensed Practical Nurse | 1211 7th Ave, Phenix City, AL 36867-5801 | 2020-06-23 |
| 1649894650 | Renita C Hill | Licensed Practical Nurse | 1512 Center Point Pkwy Ste 101, Birmingham, AL 35215-5675 | 2020-06-05 |
| 1093343949 | Angela Donner | Licensed Practical Nurse | 31 Kathleen Cir, Phenix City, AL 36869-5619 | 2020-03-27 |
| 1487280970 | Latasha Nichelle Taylor | Licensed Practical Nurse | 1949 Hanchey Rd, Birmingham, AL 35214-2007 | 2020-03-17 |
| 1306471800 | Seprina Thomas | Licensed Practical Nurse | 8632 9th Court Cir S, Birmingham, AL 35206-3507 | 2020-03-05 |
| 1598224750 | Keshia R Thornton | Licensed Practical Nurse | 5122 Rime Vlg, Vestavia Hills, AL 35216-6457 | 2019-03-18 |
| 1851857494 | Latara Chenay Speed | Licensed Practical Nurse | 201 Mamie Ln, Birmingham, AL 35215-7107 | 2019-02-19 |
| 1164904660 | Regina Mitchell | Licensed Practical Nurse | 5853 Brewbaker Blvd, Montgomery, AL 36116-4259 | 2018-08-30 |
| 1366922445 | Sophia D Loyd | Licensed Practical Nurse | 701 S 5th St Apt A, Gadsden, AL 35901-5184 | 2018-08-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LINDA HETRICK.
| 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.