MRS. MARY BERAN HEUCHERT (NPI# 1730641325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730641325 |
| Entity Type | Individual |
| Full Name | MRS. MARY BERAN HEUCHERT |
| Credential | PHYSICAL THERAPIST |
| Practice Address |
6147 Shakespeare Dr Baton Rouge LA 70817-2920 |
| Practice Telephone | 2256039138 |
| Mailing Telephone | 2256039138 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
01411 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PART C | 01411 | 01 |
| Street Address |
6147 SHAKESPEARE DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70817-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
| 1457821043 | Traci Bellazin | Case Manager/Care Coordinator | 9334 Falling Oak Dr., Baton Rouge, LA 70817 | 2018-11-27 |
| 1124502869 | Jacob Schrieffer | Nurse Practitioner | 15389 Airline Highway, Baton Rouge, LA 70817 | 2018-09-19 |
| 1629564638 | Baton Rouge Dental Associates, LLC | Dentist | 14948 Market St, Baton Rouge, LA 70817 | 2018-07-03 |
| 1740786946 | Charlotte L Watts | Nurse Practitioner | 15389 Airline Hwy, Baton Rouge, LA 70817 | 2018-04-05 |
| 1164957536 | Deranecha Francois | Counselor | 17232 Jefferson Hwy, Apt 121, Baton Rouge, LA 70817 | 2017-04-24 |
| 1992251573 | Jacob Dent, Dds. Baton Rouge Modern Dentistry, A Professional Corp | Dentist | 14640 Village Market St, Suite 103, Baton Rouge, LA 70817 | 2016-09-01 |
| 1235522962 | Cardinal Community Services LLC | Clinic/Center | 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 | 2015-03-05 |
| 1962832204 | Bcbr Facility Services, LLC | Clinic/Center | 277 Rue De La Vie, Baton Rouge, LA 70817 | 2013-11-23 |
| 1700225737 | Renee Denise Beyer Boudreaux | Nurse Practitioner | 500 Rue De La Vie, Suite 401, Baton Rouge, LA 70817 | 2013-06-24 |
| Find all providers in zip 70817 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568600682 | Jennifer A Irvin | Physical Therapist | 4188 Capitol Heights Ave, Baton Rouge, LA 70806-5826 | 2009-01-27 |
| 1134252265 | Ashley Fabre Larson | Physical Therapist | 3529 Westervelt Ave, Baton Rouge, LA 70820-5057 | 2007-03-14 |
| 1063544815 | Lisa Roussel Veron | Physical Therapist | 1421 Leycester Dr, Baton Rouge, LA 70808-5750 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578186649 | Abby Elizabeth Lewis | Physical Therapist | 4750 Lake St, Lake Charles, LA 70605-6008 | 2020-05-25 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1427561141 | Mark - Meaningful Autistic Resources for Kids | Physical Therapist | 41172 New Orleans Dr, Sorrento, LA 70778-3424 | 2017-11-16 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1376063701 | Katie Meyers Stone | Physical Therapist | 1034 Arabella St, New Orleans, LA 70115-3139 | 2017-06-27 |
| 1083034177 | Andrew Stout | Physical Therapist | 706 Sundale Dr, Lake Charles, LA 70607-7032 | 2014-04-16 |
| 1417374661 | Yingna Li | Physical Therapist | 2327 Whitney Dr, Monroe, LA 71201-2954 | 2014-03-26 |
| 1699022897 | Childrens Rehab Therapy | Physical Therapist | 69315 Prevost Rd, Mandeville, LA 70471-7703 | 2012-08-07 |
| 1790031425 | Dominique Player | Physical Therapist | 129 Panther Run, Destrehan, LA 70047-3133 | 2012-07-31 |
| 1780947440 | Lodie Nycol Kyzar | Physical Therapist | 536 Half Moon Ln, Bossier City, LA 71111-5576 | 2012-06-18 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70817 |
Please comment or provide details below to improve the information on MRS. MARY BERAN HEUCHERT.
| 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.