DR. KRISTIN ANNE HIESHETTER (NPI# 1134210776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134210776 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN ANNE HIESHETTER |
| Other Name | DR. KRISTIN ANNE MCDONOUGH |
| Credential | D.C. |
| Practice Address |
207 W. John St. Po 398 Newberry MI 49868-1209 |
| Mailing Address |
Po Box 398 207 W. John St. Newberry MI 49868-1209 |
| Practice Telephone | 9062915080 |
| Practice Fax Number | 9062915081 |
| Mailing Telephone | 9062915080 |
| Mailing Fax Number | 9062915081 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2016-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301009094 | MI | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 4128-012 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PTAN | P628001 | 01 |
| Street Address |
207 W. JOHN ST. PO 398 |
| City | NEWBERRY |
| State | MI |
| Zip Code | 49868-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700119989 | Kathy Ballard Behavioral Health Services LLC | Social Worker | 405 Newberry Avenue, Newberry, MI 49868 | 2009-09-06 |
| 1063657286 | Up Superior Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 13534 State Highway 28, Newberry, MI 49868 | 2008-12-03 |
| 1447349576 | Denise Magdalene Danaher | Registered Nurse | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2006-10-12 |
| 1114934189 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 7293 M-123, Newberry, MI 49868 | 2006-08-02 |
| 1912932757 | Brian Joseph Bezotte | Social Worker | 14126 West County Road 428, Newberry, MI 49868 | 2006-07-11 |
| 1710944525 | Hilary S Newby | Dentist | 7793 S Newberry Ave, Newberry, MI 49868 | 2006-04-26 |
| 1700112141 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 405 Newberry Avenue, Room 2, Newberry, MI 49868 | 2009-10-20 |
| 1265561260 | Luce-mackinac Health Department | Home Health | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2007-03-05 |
| 1700915709 | Luce-mackinac Health Department | Hospice Care, Community Based | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2007-03-05 |
| 1578691242 | Luce-mackinac Health Department | Public Health or Welfare | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2007-03-02 |
| Find all providers in zip 49868 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390177 | Direct Care Chiropractic LLC | Chiropractor | 212 Nw 135th Way, Newberry, FL 32669-3694 | 2020-09-11 |
| 1134575897 | Wade C Verch | Chiropractor | 1112 Calhoun St, Newberry, SC 29108-3445 | 2016-05-11 |
| 1851706774 | Cheneir Neely | Chiropractor | 2541 Evans St Ste 100, Newberry, SC 29108-2963 | 2014-06-30 |
| 1760826838 | Midlands Chiropractic | Chiropractor | 3218 College St, Newberry, SC 29108-1638 | 2013-04-19 |
| 1952642423 | Allison Kyzer Gardner | Chiropractor | 3218 College Street, Newberry, SC 29108 | 2013-03-08 |
| 1003109976 | Tara Bisogna Layne | Chiropractor | 2218 Wilson Rd, Newberry, SC 29108-1624 | 2011-05-25 |
| 1053630111 | Superior Health and Wellness Pllc | Chiropractor | 207 W John St, Newberry, MI 49868-1126 | 2010-05-27 |
| 1235317868 | Drinkall Chiropractic Life Center Inc. | Chiropractor | 11489 Sc Highway 121, Newberry, SC 29108-9137 | 2008-02-06 |
| 1588873434 | Richard G. Boudreau, Dc P.c | Chiropractor | 3540 County Road 405, Newberry, MI 49868-8138 | 2007-05-21 |
| 1962430769 | Geoffrey A Powell | Chiropractor | 14212 W Newberry Rd, Newberry, FL 32669-2765 | 2006-06-29 |
| Find all providers in NEWBERRY | ||||
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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.