HEIDI DAUGHERTY


Address: 661 Robin Dr, Ellettsville, IN 47429-1635
Phone: 8123617465

HEIDI DAUGHERTY (NPI# 1174845135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WL0100X Registered Nurse
Specialization: Lactation Consultant
28138372A IN Nursing Service Providers

Other Providers HEIDI DAUGHERTY

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1346497906 Heidi Mae Daugherty Nurse Practitioner 4565 Dressler Rd Nw, Suite 111, Canton, OH 44718-2549 2008-08-25

Office Location

Street Address 661 ROBIN DR
City ELLETTSVILLE
State IN
Zip Code 47429-1635

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WL0100X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Lactation Consultant

Taxonomy Definition

Definition to come...

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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
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Competitor

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City ELLETTSVILLE
Zip Code 47429

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Dataset Information

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.

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