MS. HEATHER MARIE CONKLIN (NPI# 1013051473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013051473 |
| Entity Type | Individual |
| Full Name | MS. HEATHER MARIE CONKLIN |
| Credential | PHD |
| Practice Address |
262 Danny Thomas Pl Memphis TN 38105-3678 |
| Practice Telephone | 9015953006 |
| Practice Fax Number | 9015953842 |
| Mailing Telephone | 9015953006 |
| Mailing Fax Number | 9015953842 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2011-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 2720 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992942304 | Heather Conklin | Occupational Therapy Assistant | 7237 Blue Juniper Ct, Fuquay Varina, NC 27526-5469 | 2009-01-07 |
| 1386840205 | Heather Lynette Conklin | Marriage & Family Therapist | 1669 West Avenue J, Suite 202, Lancaster, CA 93534 | 2007-06-26 |
| 1295867158 | Heather Renee Conklin | Nurse Practitioner | 1295 E 151st St Ste 7, Olathe, KS 66062-3429 | 2007-03-09 |
| 1093369290 | Heather Elizabeth Conklin | Occupational Therapy Assistant | 15 Cypress Branch Way Ste 207d, Palm Coast, FL 32164-8414 | 2019-07-26 |
| 1679025266 | Heather Conklin | Pharmacist | 8095 N University Dr, Parkland, FL 33067-2602 | 2016-10-28 |
| Street Address |
262 DANNY THOMAS PL |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-3678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495889 | Melissa M Hudson | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2005-05-23 |
| 1023618907 | James Michael Burgess | Registered Nurse | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-10-29 |
| 1669098273 | Cassandra Gerhart | Nurse Anesthetist, Certified Registered | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-06-19 |
| 1275152589 | Katherine Farabee Bailey | Registered Nurse | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-04-16 |
| 1144851858 | Chs Tennessee Medical P C | Clinic/Center | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-31 |
| 1285274639 | Alise Murray | Genetic Counselor, MS | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-14 |
| 1053951566 | Mary Margaret Benson | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-13 |
| 1164062071 | Erma Louise Davis | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-08 |
| 1821637216 | Heather Gaye Havens | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-02 |
| 1811534837 | Cody Elizabeth Mcmillan | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2019-12-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306162326 | Neelam Jain | Clinical Neuropsychologist | 1661 International Place Dr Ste 400, Memphis, TN 38120-1431 | 2010-04-15 |
| 1700971413 | Christopher H. Bassin | Clinical Neuropsychologist | 5154 Stage Rd Ste 102, Memphis, TN 38134-3118 | 2006-10-04 |
| 1285660621 | Connie S Paul | Clinical Neuropsychologist | 5154 Stage Rd, Suite 102, Memphis, TN 38134-3118 | 2006-06-25 |
| 1912538950 | Jeanelle Sonya Ali | Clinical Neuropsychologist | 848 Adams Ave Ste L400, Memphis, TN 38103-2816 | 2020-01-29 |
| 1902454127 | Gwendolyn Beard | Clinical Neuropsychologist | 848 Adams Ave Ste L400, Memphis, TN 38103-2816 | 2019-08-30 |
| 1154977577 | Jennifer Longoria | Clinical Neuropsychologist | 262 Danny Thomas Place, Psychology Dept., Memphis, TN 38105 | 2019-08-12 |
| 1336706886 | Adaptive Neuropsychology Services, Pllc | Clinical Neuropsychologist | 5154 Stage Rd Ste 102, Memphis, TN 38134-3118 | 2019-05-21 |
| 1992287213 | Jessica Arean Pliego | Clinical Neuropsychologist | 848 Adams Ave., Ste. L400, Memphis, TN 38103 | 2018-09-04 |
| 1396266045 | Marcy Adler | Clinical Neuropsychologist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2017-07-03 |
| 1801343835 | Billy D. Holcombe | Clinical Neuropsychologist | 848 Adams Ave Ste L400, Memphis, TN 38103-2816 | 2016-09-07 |
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| 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.