YOUR FAMILY AND HEART CARE CENTER WITH PERSONALIZED PREVENTION


Address: 1615 Blackiston View Dr, Clarksville, IN 47129-2035
Phone: 8122529464

YOUR FAMILY AND HEART CARE CENTER WITH PERSONALIZED PREVENTION (NPI# 1417260555) 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) 1417260555
Entity Type Organization
Organization Name YOUR FAMILY AND HEART CARE CENTER WITH PERSONALIZED PREVENTION
Practice Address 1615 Blackiston View Dr
Clarksville
IN 47129-2035
Mailing Address 1050 Chapel Creek Trl
New Albany
IN 47150-9647
Practice Telephone 8122529464
Mailing Telephone 8122529464
Enumeration Date 2010-07-19
Last Update Date 2014-03-10
Authorized Official Name RHONDA HETTINGER (OWNER)
Authorized Official Telephone 8122529464
Authorized Official Credential NP-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 201011770A 05

Office Location

Street Address 1615 BLACKISTON VIEW DR
City CLARKSVILLE
State IN
Zip Code 47129-2035

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407844996 Rhonda Joan Hettinger Nurse Practitioner 1615 Blackiston View Dr, Suite E, Clarksville, IN 47129-2035 2005-10-10
1033483888 Paul Joseph Evans Nurse Practitioner 1615 Blackiston View Dr, Clarksville, IN 47129-2035 2012-02-25
1962553115 Jacqueline Renee Brannon Nurse Practitioner 1615 Blackiston View Dr, Clarksville, IN 47129-2012 2007-01-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750997912 Steven W Spalding Massage Therapist 4755 Us-31 East, Clarksville, IN 47129 2020-09-22
1194373571 Clarksville Psych Hospital, LLC Psychiatric Hospital 1612 Blackiston View Dr, Clarksville, IN 47129 2019-08-29
1699261792 Richard H Milburn Physical Therapist Communicare Healthcare Center, 101 Potters Ln, Clarksville, IN 47129 2018-07-02
1851833891 Kojo Spio Pharmacist 1106 Veterans Parkway, Clarksville, IN 47129 2016-11-08
1972870772 Gail Glasgow Pharmacist 220 E. Lewis and Clark Parkway, Clarksville, IN 47129 2011-11-22
1417272360 America's Best Contacts & Eyeglasses Technician/Technologist 1401 Veterans Pkwy, Clarksville, IN 47129 2010-04-05
1275866394 Sarah Capri Davenport Psychologist 1329 Applegate Lane, Southern Indiana Rehab Hospital, Clarksville, IN 47129 2009-09-08
1467623629 Mortenson Family Dental Center- Clarksville, LLC Dentist 1240 Veterans Parkway, Suite 100, Clarksville, IN 47129 2008-03-17
1932394087 Amy Bedan Poff Nurse Practitioner 2051 Clevidence Blvd Ste B, Clarksville, IN 47129 2007-09-12
1376757054 Rukhsana Ikram Rahman Internal Medicine 630 Eastern Blvd, Clarksville, IN 47129 2007-05-10
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265078224 Mh Health Care Services, PC Nurse Practitioner 4583 Guthrie Hwy, Clarksville, TN 37040-5422 2019-11-25
1255819926 Amanda Lynn Blassl Nurse Practitioner 2485 Tiny Town Rd, Clarksville, TN 37042-7219 2018-08-03
1831693399 Jamie Charlene Smock Nurse Practitioner 2945 Lily Way, Clarksville, TN 37043-5959 2018-03-20
1053824334 Sandra Loren Coates Nurse Practitioner 980 Professional Park Dr Ste C, Clarksville, TN 37040 2017-11-09
1568997344 Louisa Jones Nurse Practitioner 751 Chesapeake Ln Ste 101, Clarksville, TN 37040-5263 2017-04-28
1619304318 Regina G Goldwire Nurse Practitioner 351 Dover Road, North Clarksville Medical Center, Clarksville, TN 37042 2013-09-26
1194048413 Sherry D. Miller Nurse Practitioner 776 Weatherly Dr Ste B, Clarksville, TN 37043-8941 2010-03-02
1932394087 Amy Bedan Poff Nurse Practitioner 2051 Clevidence Blvd Ste B, Clarksville, IN 47129 2007-09-12
1093880205 Elizabeth Mcgraw Nurse Practitioner 621 Gracey Ave, Clarksville, TN 37040-4012 2006-11-22
1780631945 Lori A Middleton Nurse Practitioner 1820 Haynes St, Clarksville, TN 37043-4547 2006-05-31
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Competitor

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City CLARKSVILLE
Zip Code 47129

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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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