MRS. HEATHER NICOLE SELF (NPI# 1336611714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336611714 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER NICOLE SELF |
| Credential | FNP-BC |
| Practice Address |
657 Hemlock St Macon GA 31201-8329 |
| Mailing Address |
338 Ventura Dr Byron GA 31008-8752 |
| Practice Telephone | 4783341220 |
| Mailing Telephone | 4789567886 |
| Enumeration Date | 2018-12-22 |
| Last Update Date | 2019-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN232828 | GA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | RN232828 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366979221 | Heather A Self | Counselor | 744 Dante St, New Orleans, LA 70118-1014 | 2017-05-22 |
| 1255525622 | Heather Paige Self | Registered Nurse | 815 West Fifth North Street, Morristown, TN 37814 | 2007-08-29 |
| Street Address |
657 HEMLOCK ST |
| City | MACON |
| State | GA |
| Zip Code | 31201-8329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134172588 | Iris Chambliss Kelly | Internal Medicine | 657 Hemlock St, Suite 220, Macon, GA 31201-8329 | 2006-05-18 |
| 1184173965 | Ivy Vickers | Nurse Practitioner | 657 Hemlock St, Suite 220, Macon, GA 31201 | 2016-09-22 |
| 1487002382 | Magna Care Medical Specialists LLC | Hospitalist | 657 Hemlock St, Ste 220, Macon, GA 31201-8329 | 2016-06-01 |
| 1770958589 | Mary Gayle Schnee | Nurse Practitioner | 657 Hemlock St, Macon, GA 31201-8329 | 2015-12-04 |
| 1588087142 | Seolhyun Lee | Internal Medicine | 657 Hemlock St, Ste 220, Macon, GA 31201-8329 | 2014-01-31 |
| 1487774303 | Ihab Zaki Zaggout | Internal Medicine | 657 Hemlock St, Suite 200, Macon, GA 31201-8329 | 2007-04-02 |
| 1790827129 | Magna Intensive Care LLC | Specialist | 657 Hemlock St, Ste 220, Macon, GA 31201-8329 | 2007-02-13 |
| 1750464145 | Robbie D James | Dietitian, Registered | 657 Hemlock St, Suite 100, Macon, GA 31201-8329 | 2006-10-23 |
| 1114034758 | Central Georgia Internist | Specialist | 657 Hemlock St, Ste 220, Macon, GA 31201-8329 | 2006-08-23 |
| 1578573762 | Christy R Johnson | Nurse Practitioner | 657 Hemlock St, Suite 220, Macon, GA 31201-8329 | 2006-08-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604158 | Tekeria Gallemore | Nurse Practitioner | 204 Rockingham Pl, Macon, GA 31217-2615 | 2020-09-22 |
| 1710534839 | Tuwanna Yvette Brooks | Nurse Practitioner | 2685 Cherokee Ave, Macon, GA 31204-3940 | 2019-08-22 |
| 1568019206 | Candace W Webb | Nurse Practitioner | 770 Pine St Ste 310, Macon, GA 31201-7587 | 2019-08-19 |
| 1013579846 | Rachel Michelle Applegate | Nurse Practitioner | 657 Hemlock St Ste 200, Macon, GA 31201-8324 | 2019-07-02 |
| 1447813993 | Amelia Angelica Harpe Mills | Nurse Practitioner | 3300 N Ingle Pl Apt 6e, Macon, GA 31210-2529 | 2019-04-19 |
| 1922563287 | Vanessa Lott | Nurse Practitioner | 107 William Way, Macon, GA 31216-6160 | 2019-01-31 |
| 1649771155 | Tory Kirsten Etheridge | Nurse Practitioner | 688 Walnut St Ste 200, Macon, GA 31201-0333 | 2018-02-21 |
| 1003324112 | Jared L Jarrett Np, LLC | Nurse Practitioner | 770 Pine St Ste 560, Macon, GA 31201-7569 | 2018-01-11 |
| 1699281360 | Charneika C Brown | Nurse Practitioner | 639 Hemlock St Ste 100, Macon, GA 31201-6889 | 2017-12-18 |
| 1821512393 | Bridgette Rebecca Harrison | Nurse Practitioner | 193 John Michael Drive, Macon, GA 31211 | 2017-07-27 |
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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.