DR. HEIDI JO YOUNG HETLAND (NPI# 1467584698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467584698 |
| Entity Type | Individual |
| Full Name | DR. HEIDI JO YOUNG HETLAND |
| Credential | PT, DPT, MS, PCS |
| Practice Address |
1214 Goldenview Ct Durham NC 27713-8207 |
| Practice Telephone | 9196982970 |
| Mailing Telephone | 9194848144 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2011-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
5172 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS OF NC | 89776 | 01 |
| Street Address |
1214 GOLDENVIEW CT |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-8207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134526841 | B. Jeanne Cornejo | Physical Therapist | 1207 Goldenview Ct, Durham, NC 27713-8208 | 2014-11-24 |
| 1639512486 | Kristi Duke | Physical Therapist | 2327 Englewood Ave, Durham, NC 27705-4014 | 2013-04-11 |
| 1063022523 | Courtney J Jeffries | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2020-08-08 |
| 1619440047 | Anna Waynick | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2019-01-08 |
| 1154835296 | Janice Minnich Fitch | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2017-11-28 |
| 1922511104 | Jennifer Edelschick | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2017-11-10 |
| 1366952756 | Elizabeth Katharine Dias | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2017-10-11 |
| 1508376419 | Kara Lardinois | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2017-10-05 |
| 1134639917 | Rachel Gandy | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2017-10-05 |
| 1194276857 | Laura Brown | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2016-10-18 |
| Find all providers in DURHAM | ||||
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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.