CAROL G. HETTEBERG (NPI# 1134242829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134242829 |
| Entity Type | Individual |
| Full Name | CAROL G. HETTEBERG |
| Credential | RN, CNS |
| Practice Address |
3333 Burnet Ave. Ml 4006 Cincinnati OH 45229-3039 |
| Mailing Address |
3333 Burnet Ave. Ml 5021 Cincinnati OH 45229-3039 |
| Practice Telephone | 5136364760 |
| Practice Fax Number | 5136367297 |
| Mailing Telephone | 5136367567 |
| Mailing Fax Number | 8664224002 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | COA.03378-NS | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3333 BURNET AVE. ML 4006 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45229-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155306 | Jeffrey A Alten | Pediatrics | 3333 Burnet Ave., Ml 2003, Cincinnati, OH 45229-3026 | 2005-06-24 |
| 1457904484 | Katie Dwyer | Nurse Practitioner | 3333 Burnet Ave., Mlc 2003, Cincinnati, OH 45229 | 2019-07-18 |
| 1316403298 | Jennifer Lynne Isaacs | Registered Nurse | 3333 Burnet Ave., Mail Location 4009, Cincinnati, OH 45229-3026 | 2019-02-15 |
| 1366908782 | Katherine O'neal Snyder | Nurse Practitioner | 3333 Burnet Ave., Mlc 2003, Cincinnati, OH 45229 | 2019-02-11 |
| 1992292395 | Mayfred Owusu | Nurse Practitioner | 3333 Burnet Ave., Pulmonary Tcc Ml 11024, Cincinnati, OH 45229 | 2018-04-20 |
| 1568961472 | Sanita Ley | Psychologist | 3333 Burnet Ave., Ml 3015, Cincinnati, OH 45229 | 2018-02-06 |
| 1194240622 | Megan O'maley | Nurse Practitioner | 3333 Burnet Ave., Mlc 7015, Cincinnati, OH 45229 | 2017-08-05 |
| 1548623051 | Teia Brandenburg | Pharmacist | 3333 Burnet Ave., Ml 2003, Cincinnati, OH 45229-3026 | 2016-04-01 |
| 1194101972 | Emily R Weghorst | Nurse Practitioner | 3333 Burnet Ave., Mlc 2003, Cincinnati, OH 45229-3026 | 2015-08-04 |
| 1194106427 | Maria Helen Obermeyer | Registered Nurse | 3333 Burnet Ave., Mlc 2023, Cincinnati, OH 45229-3026 | 2015-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1942834916 | Abigail Elizabeth Ugas | Genetic Counselor, MS | 3333 Burnet Ave., Ml 4006, Cincinnati, OH 45229 | 2020-02-27 |
| 1477112308 | City of Cincinnati | Pharmacy | 3559 Reading Road, Suite 101, Cincinnati, OH 45229 | 2019-06-13 |
| 1720548134 | Luis Andres Compres Brugal | Student in an Organized Health Care Education/Training Program | Uc Health Neurology 3113 Bellevue Avenue, Cincinnati, OH 45229 | 2019-03-21 |
| 1457816118 | Linda Sue Hughes | Counselor | 4531 Reading Road, Cincinnati, OH 45229 | 2019-02-07 |
| 1437654902 | Dimpal Patel | Physician Assistant | 3333 Burnet Ave # Mlc2004, Cincinnati, OH 45229 | 2018-03-27 |
| 1235657909 | Shauntel Stewart | Nurse's Aide | 4439 Reading Rd Ste 101, Cincinnati, OH 45229 | 2017-09-01 |
| 1336662055 | Diane Davis | Home Health Aide | 768 East Mitchell Ave, Cincinnati, OH 45229 | 2017-07-25 |
| 1265971683 | Lauren Michelle Schmitt | Psychologist | 3333 Burnet Ave., Ml 4002, Cincinnati, OH 45229 | 2017-02-17 |
| 1801257308 | Monica Renee Whitehead | Psychologist | Cincinnati Children's Hospital, 3333 Burnet Avenue, Ml 3015, Cincinnati, OH 45229 | 2016-03-10 |
| Find all providers in zip 45229 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487903712 | Mary Ellen Kelley | Clinical Nurse Specialist | 5141 Michael Anthony Ln, Cincinnati, OH 45247-7945 | 2012-08-31 |
| 1386712958 | Mary Caroleen Arnold Long | Clinical Nurse Specialist | 15 W Galbraith Rd, Cincinnati, OH 45216 | 2006-12-01 |
| 1831437698 | Patti L Besuner | Clinical Nurse Specialist | 3333 Burnet Ave, Ml 111016, Cincinnati, OH 45229-3026 | 2013-01-29 |
| 1669761292 | Joelle B Sickler | Clinical Nurse Specialist | 222 Piedmont Ave, Cincinnati, OH 45219-4231 | 2011-04-05 |
| 1053618868 | Patricia Lynne Adams | Clinical Nurse Specialist | 234 Goodman St, Cincinnati, OH 45219-2364 | 2011-02-15 |
| 1750687950 | Judith Ann Dimuzio | Clinical Nurse Specialist | 222 Piedmont Ave, Suite4300, Cincinnati, OH 45219-4231 | 2011-02-04 |
| 1487809539 | Mary Elizabeth Davidson | Clinical Nurse Specialist | 11500 Northlake Dr, Suite 200, Cincinnati, OH 45249-1650 | 2008-11-17 |
| 1457525982 | Karen K Allard | Clinical Nurse Specialist | 222 Piedmont Ave., Ml 0818, Cincinnati, OH 45219-4231 | 2008-04-16 |
| 1356512164 | Sharon Lee Balkenhol | Clinical Nurse Specialist | 6350 E Galbraith Rd, Cincinnati, OH 45236-2354 | 2008-03-19 |
| 1801067863 | Kathleen Ann Rauck | Clinical Nurse Specialist | 3200 Vine St, Nursing Service/118, Cincinnati, OH 45220-2213 | 2008-03-18 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45229 |
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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.