MS. HEATHER LYN ANDERSON


Address: 1638 Owen Drive, Fayetteville, NC 28304
Phone: 9106154001

MS. HEATHER LYN ANDERSON (NPI# 1518430974) 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) 1518430974
Entity Type Individual
Full Name MS. HEATHER LYN ANDERSON
Other Name HEATHER LYN LEGROS
Credential PA-C
Practice Address 1638 Owen Drive
Fayetteville
NC 28304
Mailing Address 1540 Purdue Dr
Fayetteville
NC 28303
Practice Telephone 9106154001
Practice Fax Number 9104251110
Mailing Telephone 9106301112
Mailing Fax Number 9104251110
Enumeration Date 2019-01-09
Last Update Date 2020-10-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0010-08786 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers HEATHER ANDERSON

NPI Name Taxonomy Address Enumeration
1871193490 Heather R Anderson Massage Therapist 1646 Se Tenino St, Portland, OR 97202-6713 2020-11-01
1952956419 Heather Marie Anderson Family Medicine 6404 Albemarle Rd Ste J&k, Charlotte, NC 28212-3800 2019-08-01
1336706548 Heather Leann Anderson Nurse Practitioner 1407 Viscaya Pkwy Ste 2, Cape Coral, FL 33990-6200 2019-05-22
1750843405 Heather Louise Anderson Physician Assistant 5422 Lewiston St, Orlando, FL 32812 2019-04-02
1679931083 Heather M Anderson Physician Assistant 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 2016-02-01
1316323033 Heather Nicole Anderson Physical Therapist 506 Kenny Rd Ste 100, Saint Paul, MN 55130-4555 2015-08-04
1174925135 Heather Anderson Specialist/Technologist, Other 1736 S Millenium Way, Meridian, ID 83642-1511 2014-09-22
1366859993 Heather Maureen Stillman Anderson Dentist 126 North 10th Street, Fort Dodge, IA 50501 2014-07-15
1376963496 Heather Marie Anderson Specialist 1736 Booth Ave, Owensboro, KY 42301-4461 2014-04-16
1558783837 Heather Anderson Physical Therapy Assistant 2185 204th Ave, Donnellson, IA 52625 2014-01-06

Office Location

Street Address 1638 OWEN DRIVE
City FAYETTEVILLE
State NC
Zip Code 28304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205863297 Cape Fear Neonatology Specialist 1638 Owen Drive, Fayetteville, NC 28302 2006-06-27
1205458510 Emily Elizabeth Olinger Student in an Organized Health Care Education/Training Program 1638 Owen Drive, Fayetteville, NC 28304 2020-05-08
1780206102 Ogar Ogar Student in an Organized Health Care Education/Training Program 1638 Owen Drive, Fayetteville, NC 28304-3424 2020-05-07
1548881493 Babar Afridi Student in an Organized Health Care Education/Training Program 1638 Owen Drive, Fayetteville, NC 28304-3424 2020-05-01
1043831274 Prutha Patel Student in an Organized Health Care Education/Training Program 1638 Owen Drive, Fayetteville, NC 28304-3424 2020-04-28
1922629245 Daniel Scott Barrack Student in an Organized Health Care Education/Training Program 1638 Owen Drive, Fayetteville, NC 28304-3424 2020-04-27
1396364220 Azad Neupane Student in an Organized Health Care Education/Training Program 1638 Owen Drive, Fayetteville, NC 28304-3424 2020-04-10
1104445139 Antonios Anagnostopoulos Student in an Organized Health Care Education/Training Program 1638 Owen Drive, Fayetteville, NC 28304 2020-04-09
1447889613 Alicia Toncar Student in an Organized Health Care Education/Training Program 1638 Owen Drive, Fayetteville, NC 28304 2020-04-08
1982232203 Christopher Davis Student in an Organized Health Care Education/Training Program 1638 Owen Drive, Fayetteville, NC 28304-3424 2020-03-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598301061 Coast To Coast Bilingual Counseling Social Worker 910 Hope Mills Road, Fayetteville, NC 28304 2019-11-20
1811530561 Frances L. Hurst Technician 6732 Carloway Dr, Fayetteville, NC 28304 2019-10-25
1538717764 Rose Mary A O'conner Technician 3530 Madison Ave, Fayetteville, NC 28304 2019-08-30
1932756087 Sally Frances Jones Technician 2053 Mango Circle, Fayetteville, NC 28304 2019-08-23
1326528803 Jeneen Yvette Townsend Counselor 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 2018-08-15
1780179580 Ma Cornelia Villavicencio Leano Nurse Practitioner 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 2018-06-25
1861986267 Pediatric After Hours Care of Fayetteville Pediatrics 556 Sandhurst Drive, Fayetteville, NC 28304 2018-06-19
1700386133 Good Night Medical of Ohio, LLC Durable Medical Equipment & Medical Supplies 405 Owen Dr Ste 202, Fayetteville, NC 28304 2018-02-12
1003321365 Valleygate Dental Surgery Center of Fayetteville, LLC Dentist 2038 Litho Place, Fayetteville, NC 28304 2017-12-08
1871004663 The Salt Project Marriage & Family Therapist 1611-b Owen Dr., Fayetteville, NC 28304 2017-10-19
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306443387 Melissa Macneil Spencer Physician Assistant 810 Knighthood Cir, Fayetteville, NY 13066-8721 2020-10-03
1366067548 Prathna Raval Physician Assistant 6808 Thames Dr, Fayetteville, NC 28306-2524 2020-06-12
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1144858515 Mackenzie Anna Kirchner Physician Assistant 568 Sandy Creek Rd, Fayetteville, GA 30214-4205 2020-03-31
1770116931 Chasity Nicole Sullivan Physician Assistant 202b Highland Ave, Fayetteville, NC 28305-5308 2020-02-17
1740812833 Madeline Everitt Monday Physician Assistant 705 Stonington Dr, Fayetteville, NC 28311-0329 2020-02-07
1396375325 Lisa Ann Gross Physician Assistant 3007 Town Center Dr Ste 100, Fayetteville, NC 28306-3663 2020-01-17
1811536048 Kelly Hamilton Sweatt Physician Assistant 1991 Fordham Dr Ste 200, Fayetteville, NC 28304-3774 2020-01-06
1922563667 Reandy Nicole Hearn Physician Assistant 2911 Breezewood Ave Ste 100, Fayetteville, NC 28303-5464 2019-02-06
1790259430 Cassandra Ann Nebosky-diaz Physician Assistant 659 Daharan Dr, Fayetteville, NC 28314-6538 2019-01-16
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Competitor

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City FAYETTEVILLE
Zip Code 28304

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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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