HEATHER MASSE HADDOCK (NPI# 1790161248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790161248 |
| Entity Type | Individual |
| Full Name | HEATHER MASSE HADDOCK |
| Credential | APRN |
| Practice Address |
16230 Summerlin Rd Suite 215 Fort Myers FL 33908-5768 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393436050 |
| Practice Fax Number | 2393436136 |
| Mailing Telephone | 2393436050 |
| Mailing Fax Number | 2393439909 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2020-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
APRN9200432 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015446500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841846979 | Heather Haddock | Midwife | 100 Rawlins Dr, Seaford, DE 19973-5881 | 2019-08-14 |
| Street Address |
16230 SUMMERLIN RD SUITE 215 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-5768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720077159 | Gerard Joseph Fitzpatrick | Family Medicine | 16230 Summerlin Rd, Suite 213-218, Fort Myers, FL 33908 | 2005-10-18 |
| 1467907006 | Amanda Gostigian | Physician Assistant | 16230 Summerlin Rd, Suite 213-218, Fort Myers, FL 33908-5768 | 2016-08-24 |
| 1750500922 | Amy B. Stanfill | Surgery | 16230 Summerlin Rd, Ste 215, Fort Myers, FL 33908-5769 | 2007-04-25 |
| 1548271067 | Evans Pierre Valerie | Surgery | 16230 Summerlin Rd, Suite 215, Fort Myers, FL 33908-5768 | 2006-08-10 |
| 1780646828 | Robert Keith Minkes | Surgery | 16230 Summerlin Rd, Ste 215, Fort Myers, FL 33908-5769 | 2006-04-04 |
| 1598724619 | Douglas Gottschalk | Otolaryngology | 16230 Summerlin Rd, Suite 215, Fort Myers, FL 33908-5768 | 2006-03-18 |
| 1023009966 | Andreas H Werle | Specialist | 16230 Summerlin Rd, Suite 215, Fort Myers, FL 33908-5768 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 364SM0705X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063934123 | Dorene Mary Mccoy | Clinical Nurse Specialist | 9981 S Healthpark Dr Ste 156, Fort Myers, FL 33908-3618 | 2017-07-11 |
| 1477187169 | Alexandra Rae Phelps | Clinical Nurse Specialist | 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL 33919-8758 | 2020-03-03 |
| 1548773005 | Sharon Dyan Moreland | Clinical Nurse Specialist | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2017-11-07 |
| 1639612492 | Suzie L Willis | Clinical Nurse Specialist | 8380 Riverwalk Park Blvd, Suite 100, Fort Myers, FL 33919-8758 | 2016-11-28 |
| 1710137146 | Amy R Phipps | Clinical Nurse Specialist | 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 | 2008-09-23 |
| 1467621193 | Kristin Eve Koehlmoos | Clinical Nurse Specialist | 16230 Summerlin Rd Ste 215, Fort Myers, FL 33908-5769 | 2008-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104256775 | Yunet Saez | Clinical Nurse Specialist | 681 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34953 | 2013-11-19 |
| 1073779815 | Felicia Quinn | Clinical Nurse Specialist | 7329 Smithbrooke Dr, Lake Worth, FL 33467-7203 | 2008-07-31 |
| 1154778470 | Janet Margaret Lightner | Clinical Nurse Specialist | 708 Del Prado Blvd S Ste 6, Cape Coral, FL 33990-2661 | 2016-05-17 |
| 1720403074 | Rhonda Renea Hendricks | Clinical Nurse Specialist | 708 S. Del Prado Blvd, Suite 1, Cape Coral, FL 33990-2676 | 2014-02-24 |
| 1437497401 | Rita A. Kelly | Clinical Nurse Specialist | 708 Del Prado Blvd S Ste 6, Cape Coral, FL 33990-2661 | 2013-01-24 |
| 1235325523 | Nancy Porras | Clinical Nurse Specialist | 3100 Coral Hills Dr, Coral Springs, FL 33065-4137 | 2007-09-20 |
| 1952597437 | Curt Lord | Clinical Nurse Specialist | 1106 Druid Rd S, Suite 301, Clearwater, FL 33756-3846 | 2007-09-19 |
| 1780898502 | Diane Marie Krawczyk | Clinical Nurse Specialist | 3981 Sw 30th Ave, Fort Lauderdale, FL 33312-6816 | 2007-05-10 |
| 1659457869 | Stefani Cohen | Clinical Nurse Specialist | 15175 Eagle Nest Ln, Suite 108, Miami Lakes, FL 33014-2244 | 2006-10-31 |
| 1568446466 | Karen A Lentz | Clinical Nurse Specialist | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2005-12-05 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on HEATHER MASSE HADDOCK.
| 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.