NICOLE ELIZABETH HEFFERN (NPI# 1205457629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205457629 |
| Entity Type | Individual |
| Full Name | NICOLE ELIZABETH HEFFERN |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
1500 N Ritter Ave Indianapolis IN 46219-3027 |
| Mailing Address |
Po Box 6276 Indianapolis IN 46206-6276 |
| Practice Telephone | 3173555041 |
| Mailing Telephone | 3178023143 |
| Mailing Fax Number | 3178700499 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1500 N RITTER AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379873 | Raymond Edward Baker | Nurse Anesthetist, Certified Registered | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2005-07-12 |
| 1104430602 | Danielle Smock | Physician Assistant | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-09-02 |
| 1245848399 | Brian David Wenger | Pharmacist | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-07-15 |
| 1306467642 | Madison Taylor Walrod | Physician Assistant | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-04-28 |
| 1760003198 | Leah Paulette Dearmond | Nurse Practitioner | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-04-27 |
| 1487274411 | Connor James Hummel | Pharmacist | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-04-20 |
| 1922628072 | Tyler John Siefring | Pharmacist | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-04-19 |
| 1649818188 | Alison Pearl Hicks | Physician Assistant | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2019-12-16 |
| 1407404676 | Larissa C Smith | Nurse Practitioner | 1500 N Ritter Ave, Medical Associates Business Office, Indianapolis, IN 46219-4621 | 2019-08-30 |
| 1639724297 | Sydney Anne Valero | Physician Assistant | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2019-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634936 | Brilyn Michelle Banister | Physician Assistant | 8443 Cabin Creek Dr Apt G, Indianapolis, IN 46237-6330 | 2020-09-17 |
| 1386290625 | Douglas R Day | Physician Assistant | 1701 N Senate Blvd # Ag373a, Indianapolis, IN 46202-1239 | 2019-08-13 |
| 1841851409 | Rachel Jagrowski | Physician Assistant | 1801 N Senate Blvd Ste 700, Indianapolis, IN 46202-1177 | 2019-06-25 |
| 1407311814 | William Peter Thompson | Physician Assistant | 1801 N Capitol Ave # Npe120, Indianapolis, IN 46202-1217 | 2019-02-11 |
| 1912492679 | Katherine Barrett Tenbarge | Physician Assistant | 1800 N Capitol Ave # E140, Indianapolis, IN 46202-1218 | 2018-06-26 |
| 1154843704 | Jennifer Trapuzzano | Physician Assistant | 1801 N Senate Blvd Ste 310, Indianapolis, IN 46202-1196 | 2017-07-14 |
| 1154879666 | Grace Schultz | Physician Assistant | 1408 Broadway St Apt F, Indianapolis, IN 46202-2744 | 2016-09-13 |
| 1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
| 1386040046 | Maham Mushtaq | Physician Assistant | 5759 James Blair Dr, Indianapolis, IN 46234-3226 | 2014-11-07 |
| 1285030924 | Margaret Anne Voelker-park | Physician Assistant | 550 University Blvd Unit 3240, Indianapolis, IN 46202-5250 | 2014-11-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
Please comment or provide details below to improve the information on NICOLE ELIZABETH HEFFERN.
| 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.