DR. HEATHER HEIDORN (NPI# 1093366601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093366601 |
| Entity Type | Individual |
| Full Name | DR. HEATHER HEIDORN |
| Credential | PHARMD |
| Practice Address |
528 Chief Eddie Hoffman Hwy Bethel AK 99559-0528 |
| Mailing Address |
Po Box 528 Bethel AK 99559-0528 |
| Practice Telephone | 9075436133 |
| Mailing Telephone | 9075436133 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
019597 | KY | Pharmacy Service Providers |
| Street Address |
528 CHIEF EDDIE HOFFMAN HWY |
| City | BETHEL |
| State | AK |
| Zip Code | 99559-0528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225446131 | Brian Blum | Optometrist | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2014-07-24 |
| 1891264727 | Laura Ann Koskenmaki | Nurse Practitioner | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2018-11-20 |
| 1053806414 | Ashley Fairbanks Glasheen | Nurse Practitioner | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 | 2018-06-28 |
| 1538658398 | Kameron Shea Zimin | Dentist | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2018-05-08 |
| 1841723681 | Justin Lawrence Willis | Pediatrics | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559 | 2017-04-08 |
| 1831646447 | Sadie M Green | Dental Therapist | 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0304 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337519 | Michael P Nicolai | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 | 2020-08-18 |
| 1003438508 | Enc Physical Therapy LLC | Physical Therapist | 223 Blackberry Street, Unit A, Bethel, AK 99559 | 2020-05-07 |
| 1780229609 | Laline Knox | Massage Therapist | 107 Alex Hatley Ste 1, Bethel, AK 99559 | 2019-11-14 |
| 1659920502 | Ana Celina Sebastian | Counselor | 1380 Calista Dr, Bethel, AK 99559 | 2019-09-04 |
| 1639730484 | Jerri Linda Moran-gentle | Massage Therapist | 430 A 7th Ave, Bethel, AK 99559 | 2019-06-24 |
| 1528625381 | Jennifer Peeks | Social Worker | 631 4th Ave. & Main St., Bethel, AK 99559 | 2019-05-28 |
| 1710451190 | Mary Theresa Thibeault | Registered Nurse | Bethel Public Health Center, 1490 Eddie Hoffman Highway, Bethel, AK 99559 | 2019-01-18 |
| 1659846210 | Freda Lizann Jimmie | Counselor | 829 Eddie Hoffman Highway, Bethel, AK 99559 | 2018-10-10 |
| 1073093977 | Romeo Mullai | Counselor | 1630 Calista Drive, Bethel, AK 99559 | 2018-08-20 |
| 1235623794 | Brian Justin Moses | Day Training/Habilitation Specialist | 841 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2018-06-19 |
| Find all providers in zip 99559 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043564 | Ashley Lourilea Hunsucker | Pharmacist | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2019-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114263167 | Brian D Schilling | Pharmacist | Pcc Pharmacy, 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2012-12-19 |
| 1356990808 | Philip Quintero | Pharmacist | 1501 Huffman Rd, Anchorage, AK 99515-3596 | 2019-09-07 |
| 1780169094 | Michael Kristopher Frazier | Pharmacist | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2018-10-02 |
| 1932682127 | Devin Benjamin Drummond | Pharmacist | 1000 Greg Kruschek Ave, Nome, AK 99762 | 2018-09-13 |
| 1609379726 | Michael Bolan | Pharmacist | 4076 Neely Road, Fort Wainwright, AK 99709 | 2018-03-15 |
| 1093244287 | Lauren Elizabeth Kaleta | Pharmacist | 106 Lincoln St, Sitka, AK 99835-7540 | 2017-06-09 |
| 1164956421 | Stephen John Sullivan Jr. | Pharmacist | 5955 Zeamer Ave # 673mdg, Jber, AK 99506-3702 | 2017-04-13 |
| 1346608445 | Allorie Timon Caldwell | Pharmacist | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2016-02-03 |
| 1366851008 | Monika Maltese | Pharmacist | 1201 N Muldoon Rd, Anchorage, AK 99504-6104 | 2014-08-07 |
| 1811329394 | Gary Lamar Anderson | Pharmacist | 1060 Gaffney Rd Stop 7440, Ft Wainwright, AK 99703-5007 | 2013-08-06 |
| Find all providers with the same taxonomy | ||||
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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.