HEIDI DAUGHERTY (NPI# 1174845135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174845135 |
Entity Type | Individual |
Full Name | HEIDI DAUGHERTY |
Credential | RN, BSN, IBCLC |
Practice Address |
661 Robin Dr Ellettsville IN 47429-1635 |
Practice Telephone | 8123617465 |
Mailing Telephone | 8123617465 |
Enumeration Date | 2010-02-18 |
Last Update Date | 2010-02-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
28138372A | IN | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306182746 | Heidi L Daugherty | Speech-Language Pathologist | 20900 Roland Heights Rd, Roland, AR 72135-9685 | 2012-12-12 |
1346497906 | Heidi Mae Daugherty | Nurse Practitioner | 4565 Dressler Rd Nw, Suite 111, Canton, OH 44718-2549 | 2008-08-25 |
Street Address |
661 ROBIN DR |
City | ELLETTSVILLE |
State | IN |
Zip Code | 47429-1635 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306260823 | Sarah Lock | Physical Therapist | 5911 West State Road 46, Ellettsville, IN 47429 | 2014-02-05 |
1093085136 | Kayla Mason | Occupational Therapist | 5911 W State Rd 46, Ellettsville, IN 47429 | 2012-01-06 |
1760539704 | Kenneth Louis Guzik | Chiropractor | 403 W Temperance St, Box 605, Ellettsville, IN 47429 | 2007-01-04 |
1669555454 | Stephen Andrew Trager | Dentist | 5915 West State Road 46, Ellettsville, IN 47429 | 2006-10-23 |
1104910983 | Christole, Inc | Intermediate Care Facility, Mentally Retarded | 1922 Limestone Drive, Ellettsville, IN 47429 | 2006-10-03 |
1164788410 | Danielle Haines | Physical Therapy Assistant | 5911 W State Rd 46, Ellettsville, IN 47429 | 2012-04-11 |
1982990594 | Steven William Bollinger | Dentist | 5915 W. Highway 46, Ellettsville, IN 47429-0518 | 2011-06-22 |
1508968728 | David C Compton | Dentist | 5915 West Highway 46, Ellettsville, IN 47429-0518 | 2006-09-01 |
1063515914 | Ellettsville Dental Center, Inc. | Dentist | 5915 West Highway 46, Ellettsville, IN 47429-0518 | 2006-09-06 |
1467660878 | Richland Bean Blossom Community School Corporaton | Local Education Agency (LEA) | 600 Edgewood Dr, Ellettsville, IN 47429-1134 | 2007-05-18 |
Find all providers in zip 47429 |
Taxonomy Code | 163WL0100X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Lactation Consultant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770184418 | Ashley Elizabeth Bontrager | Registered Nurse | 15040 Hunting Ridge Ct, Granger, IN 46530-9690 | 2020-11-07 |
1063022366 | Victoria Lee Golden | Registered Nurse | 1925 Tulip Ln, Munster, IN 46321-3241 | 2020-08-03 |
1922628494 | Crystal Morgan | Registered Nurse | 1625 W 93rd Ave, Crown Point, IN 46307-1803 | 2020-04-24 |
1356977813 | Courtnie Leeper | Registered Nurse | 8137 Menlo Court East Dr, Indianapolis, IN 46240-4717 | 2020-03-17 |
1154962793 | Haley Ann Shirley | Registered Nurse | 2705 N Lebanon St Ste 415, Lebanon, IN 46052-8621 | 2019-10-04 |
1578039160 | Sarah Lang | Registered Nurse | 13233 Harrison Dr, Carmel, IN 46033-8878 | 2018-10-22 |
1285155036 | Kathryn Jean Thomas | Registered Nurse | 9855 River Oak Ln N, Fishers, IN 46038-2131 | 2017-07-02 |
1790234458 | Ryan R Karim | Registered Nurse | 3816 Cooper Square Ct Apt 12204, Indianapolis, IN 46205-3250 | 2016-09-22 |
1225432149 | Lisa Lahey | Registered Nurse | 1826 N German Church Rd, Indianapolis, IN 46229-1914 | 2014-10-21 |
1407273634 | Mary Schroder | Registered Nurse | 7711 Old Highway 111, Memphis, IN 47143-9661 | 2014-03-26 |
Find all providers with the same taxonomy |
City | ELLETTSVILLE |
Zip Code | 47429 |
Please comment or provide details below to improve the information on HEIDI DAUGHERTY.
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.