HEIDI EVERSOLE (NPI# 1871006304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871006304 |
| Entity Type | Individual |
| Full Name | HEIDI EVERSOLE |
| Credential | CT |
| Practice Address |
4464 S Dixie Hwy Middletown OH 45005-5464 |
| Practice Telephone | 5136498008 |
| Practice Fax Number | 5136498004 |
| Mailing Telephone | 5136498008 |
| Mailing Fax Number | 5136498004 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | C.1700234-TRNE | OH | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ODMH | 0074946 | 01 |
| OH | ODADAS | 0074861 | 01 |
| OH | PTAN GROUP | H130910 | 01 |
| OH | CARF | 01-0693 | 01 |
| Street Address |
4464 S DIXIE HWY |
| City | MIDDLETOWN |
| State | OH |
| Zip Code | 45005-5464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679526321 | Brandy J Slavens | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2006-05-17 |
| 1811598964 | Jamie Kleiner | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-11-05 |
| 1750989562 | Betsy Singer-lefton | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-10-14 |
| 1932707742 | David Jablonka | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-10-14 |
| 1457968877 | Samantha Rowe | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-09-29 |
| 1356956353 | Elizabeth Bremenkamp | Social Worker | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-09-15 |
| 1659986446 | Jillian Feazel | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-09-09 |
| 1487265641 | Katelyn Atkinson | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-08-12 |
| 1457979437 | Paige Stafford | Counselor | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-07-07 |
| 1801418488 | Shannon Gill | Case Manager/Care Coordinator | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053835058 | Cei Physicians P.s.c., LLC | Clinic/Center | 5950 Innovation Dr, Franklin, OH 45005 | 2017-08-01 |
| 1356703367 | Shawnta Wagner-jenkins | Nurse Practitioner | 3240 Towne Blvd, Middletown, OH 45005 | 2016-03-28 |
| 1801279781 | Latania Thomas | Social Worker | 3481 S Dixie Hwy 162, Franklin, OH 45005 | 2015-07-09 |
| 1285026088 | Expert Hearing Clinic, LLC | Hearing Aid Equipment | 8401 Claude Thomas Rd Suite 27, Franklin, OH 45005 | 2015-03-03 |
| 1689062440 | Emergency Medicine Specialists, Inc. | Emergency Medicine | 100 Kettering Way, Franklin, OH 45005 | 2015-01-02 |
| 1972907186 | Talbert House Health Center | Clinic/Center | 333 Conover Dr Ste D, Franklin, OH 45005 | 2014-10-17 |
| 1427347194 | Savio M Kumar | Internal Medicine | 200 Medical Center Dr Ste 360, Middletown, OH 45005 | 2011-04-04 |
| 1467782169 | Darcy Joann Thompson | Licensed Practical Nurse | 139 Boulder Dr., Franklin, OH 45005 | 2010-01-04 |
| 1912132028 | John F Waters | Nurse Practitioner | 8401 Claude Thomas Rd Ste 21d, Franklin, OH 45005 | 2009-05-18 |
| 1528201688 | Amy Michelle Renshaw | Obstetrics & Gynecology | 200 Medical Center Dr Ste 200, Middletown, OH 45005 | 2009-04-19 |
| Find all providers in zip 45005 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916488 | Ashley Poprilo | Student in an Organized Health Care Education/Training Program | 19 Grand St, Middletown, CT 06457-2705 | 2020-09-11 |
| 1659993905 | Punik Shah | Student in an Organized Health Care Education/Training Program | 707 E Main St Ste 1243, Middletown, NY 10940-2667 | 2020-05-09 |
| 1861021537 | Danielle Marie Juelis | Student in an Organized Health Care Education/Training Program | 127 Irwin Pl, Middletown, NJ 07748-2308 | 2020-04-05 |
| 1518523489 | Melissa Lynn Lipari | Student in an Organized Health Care Education/Training Program | 21825 Jerusalem Grade Road, Middletown, CA 95461 | 2019-05-15 |
| 1336600535 | Nathan Lo | Student in an Organized Health Care Education/Training Program | 937 Whispering Trail, Middletown, DE 19709 | 2019-03-29 |
| 1528535606 | Theresa Macy | Student in an Organized Health Care Education/Training Program | 1058 Washington St Fl 2, Middletown, CT 06457-2913 | 2018-10-26 |
| 1619442563 | Kelsey Byrd | Student in an Organized Health Care Education/Training Program | 6546 Niderdale Way, Middletown, OH 45042-9400 | 2018-10-08 |
| 1447789706 | Pabel Ali Miah | Student in an Organized Health Care Education/Training Program | 707 E. Main Street, Middletown, NY 10940 | 2017-06-08 |
| 1124491915 | Lorna Pierson | Student in an Organized Health Care Education/Training Program | 1448 Route 211 W, Middletown, NY 10940-7641 | 2015-11-03 |
| 1326421017 | Angel Brittney Armstrong | Student in an Organized Health Care Education/Training Program | 1406 Forest Ave Apt 3, Middletown, OH 45044-4323 | 2015-06-30 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 45005 |
Please comment or provide details below to improve the information on HEIDI EVERSOLE.
| 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.