MRS. HEATHER RAE WILLETT (NPI# 1649581190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649581190 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER RAE WILLETT |
| Credential | PA |
| Practice Address |
8075 N Shadeland Ave Ste 200 Indianapolis IN 46250 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3176218500 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10002408A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | TRAD MEDICARE | 266180B23 | 01 |
| IN | 300010814 | 05 | |
| IN | RR MEDICARE | P02006316 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912566639 | Heather Deanne Willett | Physical Therapist | 55 Central Iowa Dr, Marshalltown, IA 50158-4705 | 2019-06-06 |
| 1851733216 | Heather Joy Willett | Pharmacist | 2574 Easton St Ne, Canton, OH 44721-2662 | 2013-07-25 |
| Street Address |
8075 N SHADELAND AVE STE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407882798 | Muhamad Adeeb Safiia | Internal Medicine | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2006-06-25 |
| 1316415136 | Grover Alexander Shelton IIi | Registered Nurse | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250 | 2018-11-09 |
| 1376050914 | Brenda Belden Clark | Pharmacist | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2018-01-04 |
| 1124534367 | Abigail Williamson | Nurse Practitioner | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2017-12-26 |
| 1538601174 | Ashley Ponsler | Nurse Practitioner | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2016-11-14 |
| 1639623614 | Megan Eileen Black | Nurse Practitioner | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2016-08-08 |
| 1871987974 | Melissa Meyer | Physician Assistant | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2015-03-26 |
| 1679861900 | Angela Cornelius | Nurse Practitioner | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2011-07-20 |
| 1053325050 | Sasikanth Adigopula | Internal Medicine | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779739 | Brock Sokolowski | Physician Assistant | 4581 Nikki Dr Apt D, Indianapolis, IN 46237-1703 | 2020-10-28 |
| 1699373357 | Dillon Etter | Physician Assistant | 2848 N Delaware St, Indianapolis, IN 46205-4118 | 2020-10-15 |
| 1962017210 | Taylor Lee Bowen | Physician Assistant | 2760 Woodwind Way, Indianapolis, IN 46268-4233 | 2020-09-14 |
| 1912512476 | William Terrell Parmenter | Physician Assistant | 2230 English Ave, Indianapolis, IN 46201-4017 | 2020-09-11 |
| 1457966376 | Angela Shearon | Physician Assistant | 4325 N College Ave, Indianapolis, IN 46205-1931 | 2020-09-09 |
| 1639797004 | John Padraic Allbritton | Physician Assistant | 9339 Notre Dame Dr Apt D, Indianapolis, IN 46240-4168 | 2020-07-11 |
| 1154949907 | Jonathon Michael Hirsch | Physician Assistant | 5801 N Olney St Apt 9, Indianapolis, IN 46220-5181 | 2020-07-08 |
| 1437776838 | Megan Leanna Reynolds | Physician Assistant | 3841 Rookwood Ave, Indianapolis, IN 46208-3926 | 2020-07-01 |
| 1669099412 | Alisa Elaine Schrump | Physician Assistant | 7618 Old Hickory Ct, Indianapolis, IN 46259-9575 | 2020-06-28 |
| 1144846148 | Melanie M. Herrold | Physician Assistant | 5255 E Stop 11 Rd Ste 200, Indianapolis, IN 46237-6341 | 2020-06-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
Please comment or provide details below to improve the information on MRS. HEATHER RAE WILLETT.
| 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.