TAVITHIA HEIDELBURG


Address: 4 Willow Pt Ste 40, Hattiesburg, MS 39402-1150
Phone: 6013367253

TAVITHIA HEIDELBURG (NPI# 1548768260) 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) 1548768260
Entity Type Individual
Full Name TAVITHIA HEIDELBURG
Credential NURSE PRACTITIONER
Practice Address 4 Willow Pt Ste 40
Hattiesburg
MS 39402-1150
Practice Telephone 6013367253
Enumeration Date 2018-01-28
Last Update Date 2018-05-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
902245 MS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4 WILLOW PT STE 40
City HATTIESBURG
State MS
Zip Code 39402-1150

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437614187 Kimberly Elaine Dunn Nurse Practitioner 4 Willow Pt Ste 40, Hattiesburg, MS 39402-1150 2019-02-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518572965 Resilient Therapy and Solutions, Pllc Clinic/Center 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 2020-09-12
1932710225 Jones County Medical Supplies, Inc Durable Medical Equipment & Medical Supplies 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 2020-08-11
1467086736 Elizabeth A. Perry Technician 1220 Marrie St, Hattiesburg, MS 39402 2020-02-26
1225678063 Connor Gregory Galloway Physical Therapist 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 2020-01-09
1487291456 Megan Marie Smith Social Worker 11 Woodstone Plaza, Hattiesburg, MS 39402 2019-12-09
1821656612 Julie Covington Mcmahan Dentist 100 Madison Plaza, Hattiesburg, MS 39402 2019-06-05
1295392074 Hattiesburg Clinic, Pa Preventive Medicine 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 2019-05-28
1760945356 Rachandeep Chahal Student in an Organized Health Care Education/Training Program 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 2019-04-10
1386101137 Courtney L Smith Behavior Technician 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 2019-02-28
1891269940 Amanda Laine Mcarthur-macisaac Registered Nurse 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 2019-01-11
Find all providers in zip 39402

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588278618 Joshua Cole Hammons Nurse Practitioner 2134 Weeping Willow Cir, Hattiesburg, MS 39402-6096 2020-09-05
1518571900 Lawanda Nicole Ellis Nurse Practitioner 4124 W 4th St Apt 2010, Hattiesburg, MS 39401-5791 2020-09-02
1851913768 Maryam Rahmanian Nurse Practitioner 27 Lake Forgetful Apt 815, Hattiesburg, MS 39402-8288 2020-05-13
1477188332 Stacy Williams Nurse Practitioner 18 Nicolaus Dr, Hattiesburg, MS 39402-8112 2020-03-10
1932740578 Felisa Jeannette Hall Nurse Practitioner 216 Westover Dr, Hattiesburg, MS 39402-1374 2019-10-04
1164072278 Vivian Wright Pittman Nurse Practitioner 108 Northwest Cir, Hattiesburg, MS 39401-4512 2019-09-19
1821650045 Charlotte Denise Andrews Nurse Practitioner 198 Millpond Dr, Hattiesburg, MS 39401-5561 2019-07-08
1285107318 Talphineta Alisha Kelly Nurse Practitioner 9 Waverly Cir, Hattiesburg, MS 39402-8375 2019-01-11
1467931642 Shuntay Mccormick Nurse Practitioner 163 Augustine Dr, Hattiesburg, MS 39402-7836 2018-08-09
1225545585 Whitney Wilkinson Nurse Practitioner 301 South 28th Avenue, Hattiesburg, MS 39401 2018-01-08
Find all providers in HATTIESBURG

Competitor

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City HATTIESBURG
Zip Code 39402

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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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