JENNEN LEE HEATHMAN (NPI# 1174894828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174894828 |
Entity Type | Individual |
Full Name | JENNEN LEE HEATHMAN |
Credential | RN, NP-C |
Practice Address |
21703 Kingsland Blvd Ste 101 Katy TX 77450-2521 |
Practice Telephone | 2819449442 |
Practice Fax Number | 8323213012 |
Mailing Telephone | 2819449442 |
Mailing Fax Number | 8323213012 |
Enumeration Date | 2012-01-25 |
Last Update Date | 2017-01-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
646173 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
21703 KINGSLAND BLVD STE 101 |
City | KATY |
State | TX |
Zip Code | 77450-2521 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639652555 | O'brien Counseling Services, Inc. | Counselor | 21368 Provincial Blvd., Katy, TX 77450 | 2018-09-07 |
1306327275 | Renova Wellness Clinic | Counselor | 468 Park Grove Ln, Katy, TX 77450 | 2018-08-28 |
1639661556 | Health Care Senior Pllc | Family Medicine | 21702 Balsam Brook Ln, Katy, TX 77450 | 2018-06-06 |
1679081012 | Mason Sleep & Diagnostics | Clinic/Center | 462 S Mason Rd, Suite 400, Katy, TX 77450 | 2018-01-19 |
1508379900 | Mason Diagnostic Imaging | Clinic/Center | 462 S Mason Road, Suite 400, Katy, TX 77450 | 2017-11-08 |
1376055384 | Stella Dental Vk Pllc | Dentist | 21040 Highland Knolls Drive, Suite 100, Katy, TX 77450 | 2017-10-31 |
1598286031 | Ammon Zukeran Dc Inc | Chiropractor | 416 Park Grove Ln, Katy, TX 77450 | 2017-07-06 |
1588191571 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 777 S Fry Rd Ste 208, Katy, TX 77450 | 2017-05-22 |
1629527395 | Christine Margaret Gholston | Counselor | 472 Park Grove, Katy, TX 77450 | 2016-09-23 |
1598213928 | Kristina Reyes | Counselor | 633 E. Fernhust Dr., Ste 501, Katy, TX 77450 | 2016-09-14 |
Find all providers in zip 77450 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467099820 | Angel Justo Rivero Robles | Nurse Practitioner | 4802 Westfield Ranch Ct, Katy, TX 77449-2373 | 2019-12-04 |
1275178675 | Shaunna Caouette | Nurse Practitioner | 25515 Autumnwind Ct, Katy, TX 77494-4722 | 2019-11-10 |
1124406673 | Cynthia L Rozier | Nurse Practitioner | 21426 Biscayne Valley Ln, Katy, TX 77449-3449 | 2015-05-15 |
1285917575 | Kim G Nunez | Nurse Practitioner | 5110 Eule Dr, Katy, TX 77493-9504 | 2011-09-22 |
1164437877 | Jo Nell Costello | Nurse Practitioner | 1107 Mahogany Run Dr, Katy, TX 77494-6166 | 2006-07-30 |
1093797938 | Rose Marie Dickey | Nurse Practitioner | 1146 Flagmore Dr, Katy, TX 77450-4233 | 2005-11-16 |
1780108175 | Chelsea Bohac | Nurse Practitioner | 462 S Mason Rd Ste 100, Katy, TX 77450-2454 | 2017-07-28 |
1790221083 | Mallory Barnett | Nurse Practitioner | 21800 Katy Fwy Ste 200, Katy, TX 77449-7780 | 2017-01-11 |
1770896953 | Tanisha Lavelle Mangon | Nurse Practitioner | 24275 Katy Fwy Ste 400, Katy, TX 77494-7267 | 2010-07-16 |
1104081736 | Soni Kaur Kohli | Nurse Practitioner | 24275 Katy Fwy Ste 400, Katy, TX 77494-7267 | 2008-07-23 |
Find all providers in KATY |
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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.