TRACI HEFFERNAN (NPI# 1104953041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104953041 |
| Entity Type | Individual |
| Full Name | TRACI HEFFERNAN |
| Credential | MS, CCC-A |
| Practice Address |
2053 N Delbert Rd Franktown CO 80116-9231 |
| Mailing Address |
Po Box 1011 Franktown CO 80116-1011 |
| Practice Telephone | 3038989416 |
| Practice Fax Number | 3037832547 |
| Mailing Telephone | 3038989416 |
| Mailing Fax Number | 3037832547 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2010-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
277 | CO | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2053 N DELBERT RD |
| City | FRANKTOWN |
| State | CO |
| Zip Code | 80116-9231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067546 | Brynn Wiessner | Social Worker | 6230 County Rd 86, Franktown, CO 80116 | 2020-09-15 |
| 1659891562 | Eric Avery | Physical Therapist | 2350 S. Placer St, Franktown, CO 80116 | 2017-06-21 |
| 1972830016 | Promise Ranch Therapeutic Riding | Occupational Therapist | 6230 East State Highway 86, Franktown, CO 80116 | 2009-11-10 |
| 1679680292 | Franktown Fire Protection District | Ambulance | 1958 S Highway 83, Franktown, CO 80116 | 2006-08-23 |
| 1891758215 | Annmarie Mullins | Counselor | 7517 E. Highway 86, #c, Franktown, CO 80116 | 2006-04-07 |
| 1356978803 | Gloria Marie Pietila | Registered Nurse | 8294 Wild Timber Dr, Franktown, CO 80116-8101 | 2020-03-25 |
| 1215390356 | Amy Bodette | Registered Nurse | 2388 S Tarryall Way, Franktown, CO 80116-8502 | 2016-04-05 |
| 1417326232 | Psychological Counseling & Consulting | Clinical Neuropsychologist | 10332 Tomichi Dr, Franktown, CO 80116-8533 | 2015-09-22 |
| 1588055255 | Internal Aesthetic Medicine, LLC | Internal Medicine | 2400 S Russellville Rd, Franktown, CO 80116-8557 | 2015-02-16 |
| 1295356939 | Tracy Summer | Nurse Practitioner | 2400 S Russellville Rd, Franktown, CO 80116-8557 | 2020-05-05 |
| Find all providers in zip 80116 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073135794 | Denise Hostetler | Specialist/Technologist, Other | 1861 Castlewood Dr, Franktown, CO 80116-9009 | 2020-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887898 | Altitude Neuromonitoring, LLC | Specialist/Technologist, Other | 236 E Rabbit Ct, Silverthorne, CO 80498-9209 | 2020-03-25 |
| 1518597855 | Intact Neuromonitoring, LLC | Specialist/Technologist, Other | 3295 Blake St Apt 304, Denver, CO 80205-2469 | 2020-01-24 |
| 1538635982 | Casey Ryko Jestrovich | Specialist/Technologist, Other | 2318 Hall Ave, Grand Junction, CO 81501-6234 | 2018-10-23 |
| 1376019679 | Taylor Kaufman | Specialist/Technologist, Other | 5460 Ward Rd Ste 220, Arvada, CO 80002-1818 | 2018-10-15 |
| 1598246282 | Multiverse Surgical, LLC | Specialist/Technologist, Other | 2085 Driver Ln, Erie, CO 80516-4707 | 2018-08-22 |
| 1003301979 | Spencer Pankratz | Specialist/Technologist, Other | 4600 S Ulster St Ste 125, Denver, CO 80237-2848 | 2018-06-24 |
| 1780174169 | Nervepro | Specialist/Technologist, Other | 79 County Road 4103, Granby, CO 80446 | 2018-05-11 |
| 1871000588 | Peak Neuro Monitoring LLC | Specialist/Technologist, Other | 4164 Austin Bluffs Pkwy Unit 603, Colorado Springs, CO 80918-2928 | 2018-01-03 |
| 1548792401 | Breanna Singleton | Specialist/Technologist, Other | 280 E 1st Ave Unit 727, Broomfield, CO 80038-2229 | 2017-03-30 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 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.