HEATHER HEDGEPETH


Address: 1850 State St Fl 1, New Albany, IN 47150-4990
Phone: 8129493242

HEATHER HEDGEPETH (NPI# 1821539818) 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) 1821539818
Entity Type Individual
Full Name HEATHER HEDGEPETH
Practice Address 1850 State St Fl 1
New Albany
IN 47150-4990
Mailing Address Po Box 950125
Louisville
KY 40295-0125
Practice Telephone 8129493242
Mailing Telephone 8129493242
Enumeration Date 2017-03-10
Last Update Date 2019-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
71006945A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ANTHEM 000001075576 01
IN 300029752 05
KY 7100447510 05

Office Location

Street Address 1850 STATE ST FL 1
City NEW ALBANY
State IN
Zip Code 47150-4990

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1003307232 Shelby Paige Buffin Social Worker 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 2018-05-23
1104315902 Whitney Nicole Malloy Physician Assistant 2108 State Street, New Albany, IN 47150 2018-05-07
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1881110765 Kristy Marie Delaney Social Worker 1144 Creekview Circle, New Albany, IN 47150 2017-08-22
1891217030 Sarah H. Wilson Physician Assistant 1919 State St Ste 362, New Albany, IN 47150 2017-07-10
1861939290 Lauren Brenneman Pollock Audiologist 3211 Grant Line Rd St. #37, New Albany, IN 47150 2017-01-24
1861850414 Kiley Madaleno Speech-Language Pathologist 4915 Charlestown Road, New Albany, IN 47150 2016-02-10
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Competitor

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City NEW ALBANY
Zip Code 47150

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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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