MS. MICHELLE LYNN HEFFRON


Address: 11155 Dunn Rd, Saint Louis, MO 63136-6150
Phone: 3143553003

MS. MICHELLE LYNN HEFFRON (NPI# 1033137450) 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) 1033137450
Entity Type Individual
Full Name MS. MICHELLE LYNN HEFFRON
Credential AHCNS
Practice Address 11155 Dunn Rd
Saint Louis
MO 63136-6150
Mailing Address 11155 Dunn Rd Ste 204
Ste 204
Saint Louis
MO 63136-6150
Practice Telephone 3143553003
Practice Fax Number 3143550515
Mailing Telephone 3143553033
Mailing Fax Number 3143550515
Enumeration Date 2006-07-17
Last Update Date 2018-01-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SM0705X Clinical Nurse Specialist
Specialization: Medical-Surgical
124811 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 428343404 05

Office Location

Street Address 11155 DUNN RD
City SAINT LOUIS
State MO
Zip Code 63136-6150

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871585356 Salvador Lobianco Internal Medicine 11155 Dunn Rd, Ste: 315e, Saint Louis, MO 63136-6150 2005-08-19
1770047664 Rachel Marie Biggs Nurse Practitioner 11155 Dunn Rd, Ste 209e, Saint Louis, MO 63136-6150 2019-01-25
1245720846 Kathryn Marie Strope Nurse Practitioner 11155 Dunn Rd, Ste 209e, Saint Louis, MO 63136-6150 2018-05-18
1871006957 Rebecca Diane Poindexter Counselor 11155 Dunn Rd, Saint Louis, MO 63136-6150 2017-11-10
1558719617 Midwest Anesthesia Associates, P.C. Pain Medicine 11155 Dunn Rd, Suite 204n, Saint Louis, MO 63136-6150 2016-05-31
1316306194 Kerri A Smith Nurse Practitioner 11155 Dunn Rd, Ste 109n, Saint Louis, MO 63136-6150 2016-02-22
1386064061 Kathryn Rushing Registered Nurse 11155 Dunn Rd, Saint Louis, MO 63136-6150 2014-04-22
1780001446 Susan Hofmann Nurse Practitioner 11155 Dunn Rd, Ste 109n, Saint Louis, MO 63136-6150 2014-03-19
1114348380 St Louis Heart and Vascular P.C. Clinic/Center 11155 Dunn Rd, Suite 304e, Saint Louis, MO 63136-6150 2013-12-13
1972845998 Amanda N Ventimiglia Nurse Practitioner 11155 Dunn Rd, Suite 304e, Saint Louis, MO 63136-6150 2013-03-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518565993 Dorothy Smith Home Health 2531 Nathan Drive, St Louis, MO 63136 2020-10-16
1538784459 Rita D Wilson Technician 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 2020-06-16
1922646728 Eduhealth Personal Care Services Technician 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 2019-12-12
1558912964 Homers Haven Home Care LLC Home Health 5636 Pamplin Pl, St Louis, MO 63136 2019-09-26
1366096703 Chloe Suzanne Datillo Nurse Practitioner 2865 Netherton Dr., St Louis, MO 63136 2019-07-24
1053976431 U Auto Be Quik LLC Non-emergency Medical Transport (VAN) 10352 Castle Drive, St. Louis, MO 63136 2019-05-01
1164945895 A Plus Home Health Services LLC Home Health 9517 Wilson Bridge Drive, Saint Louis, MO 63136 2017-07-25
1184150302 Fairview Village Adult Day Care LLC Clinic/Center 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 2017-05-08
1023541182 Lots of Love Home Health Services In Home Supportive Care 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 2017-04-06
1912440876 Carestl Health Clinic/Center 7047 Emma Ave, Jennings, MO 63136 2016-11-28
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Taxonomy Information

Taxonomy Code 364SM0705X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Medical-Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588088009 Loren Suzanne Vandergriff Clinical Nurse Specialist 2325 Dougherty Ferry Rd, Suite 100, Saint Louis, MO 63122-3356 2014-02-05
1679769459 Mary Ellen Swatske Clinical Nurse Specialist 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 2007-09-14
1578637153 Janet M Ludwig Clinical Nurse Specialist 1201 S Grand Blvd, Saint Louis, MO 63104-1016 2006-11-17
1669546396 Mary Katherine Dorsey Clinical Nurse Specialist 10012 Kennerly Rd, Suite 305, Saint Louis, MO 63128-2197 2006-11-17
1053426809 Joan Frances Osterloh Clinical Nurse Specialist 3635 Vista Ave, Saint Louis, MO 63110-2539 2006-08-20
1053389759 Karen M Gregory Clinical Nurse Specialist 3660 Vista Ave, Saint Louis, MO 63110-2540 2006-03-09
1154305076 Debra Buback Clinical Nurse Specialist 12855 N 40 Dr, Suite 375, Saint Louis, MO 63141-8635 2005-12-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942397310 Lavonne M Burrows Clinical Nurse Specialist 101 Skaggs Rd Ste 302, Branson, MO 65616-2062 2006-10-06
1174797120 Marcia Sue Beck Clinical Nurse Specialist 2301 Holmes St, Kansas City, MO 64108-2640 2008-04-21
1962620906 Deborah Summers Clinical Nurse Specialist 4401 Wornall Rd, Kansas City, MO 64111-3220 2007-04-23
1700914983 Paula Ronzio Clinical Nurse Specialist 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2152 2007-03-01
1790855690 Pamela Ann Golden Clinical Nurse Specialist 3635 Vista At Grand, St. Louis, MO 63110-0250 2006-11-08
1457460602 Vicki L Nower Clinical Nurse Specialist 5501 Nw 62nd Ter, Suite #201, Kansas City, MO 64151-2411 2006-08-30
1639116346 Janice B Dennis Clinical Nurse Specialist 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-5939 2006-06-01
1770543597 Suzanne Opperman Clinical Nurse Specialist 800 Hospital Dr, Columbia, MO 65201-5275 2006-03-24
1871586321 Andrew L James Clinical Nurse Specialist 1 S Keene St, Columbia, MO 65201-7199 2005-08-30
1417940974 Donna L Smith Clinical Nurse Specialist 1 S Keene St, Columbia, MO 65201-7199 2005-08-30
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Competitor

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City SAINT LOUIS
Zip Code 63136

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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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