STEPHANIE HEAVNER


Address: 1060 Gaffney Rd, Fort Wainwright, AK 99703-5001
Phone: 9073615692

STEPHANIE HEAVNER (NPI# 1043528649) 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) 1043528649
Entity Type Individual
Full Name STEPHANIE HEAVNER
Practice Address 1060 Gaffney Rd
Fort Wainwright
AK 99703-5001
Practice Telephone 9073615692
Enumeration Date 2010-09-16
Last Update Date 2010-09-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC1500X Registered Nurse
Specialization: Community Health
31450 AK Nursing Service Providers

Other Providers STEPHANIE HEAVNER

NPI Name Taxonomy Address Enumeration
1245891977 Stephanie Christine Heavner Nurse Practitioner 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2019-06-24

Office Location

Street Address 1060 GAFFNEY RD
City FORT WAINWRIGHT
State AK
Zip Code 99703-5001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033191192 Elizabeth Ann Mittelstaedt Registered Nurse 1060 Gaffney Rd, Commander, Usa-meddac-ak, Attn: Mcuc-mmd-qm, Fort Wainwright, AK 99703-5001 2005-11-15
1952858615 Patrick Degen Bushman Physician Assistant 1060 Gaffney Rd, #7440, Fort Wainwright, AK 99703-5002 2016-09-09
1043764939 Laurence Preston Keim Physician Assistant 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 2016-08-08
1275985152 Monica Wyatt Nurse Practitioner 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 2016-07-05
1700235546 Tyler Tubbs Dental Assistant 1060 Gaffney Rd, 1055, Fort Wainwright, AK 99703-5002 2016-06-10
1285037796 Tina Syfert Nurse Practitioner 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 2014-09-29
1841617586 Keng Yu Chen Dentist 1060 Gaffney Rd, #7500, Fort Wainwright, AK 99703-5001 2014-03-19
1831539378 Laina Gay Cafego Family Medicine 1060 Gaffney Rd, Bassett Army Community Hospital, Fort Wainwright, AK 99703 2013-06-28
1467890798 Jennifer Myaeng Pediatrics 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 2013-06-09
1598100745 Andrea Christina Knievel General Practice 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 2013-05-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144866435 Rebecca P Conner Registered Nurse Bach, 1060 Gafney Rd, Ft Wainwright, AK 99703 2019-11-21
1881242030 Stephanie Morse Counselor Bldg 3406 Alder Ave, Ft. Wainwright, AK 99703 2019-08-30
1801376702 Matthew Gerard Somma Physician Assistant 1-25 Attack Reconnaissance Bn, Fort Wainwright, AK 99703 2018-08-20
1003268657 Brandy Tristan Dental Hygienist Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 2016-07-07
1174998918 Jeffrey Grace Physician Assistant Bassett Army Medical Center (kamish Clinic), 1060 Gaffney Rd, Ft Wainwright, AK 99703 2015-12-04
1073999215 Melanie Anne Whalen Dentist 4055 Tamarak Dr, Ft Wainwright, AK 99703 2015-08-10
1790183176 Sally Jane Rall Counselor 3406 Adler Ave, Fairbanks, AK 99703 2014-12-16
1083029193 Francesann Hill General Practice 3214 East Santiago Avenue, Apo, AP 99703 2014-06-26
1669883146 Amber Benton Psychiatry & Neurology 4005-4007 602nd St, Fort Wainwright, AK 99703 2014-05-18
1952720898 Allison Hubert Occupational Therapist 3410 Rhineland Ave, Rm 108, Fort Wainwright, AK 99703 2014-04-08
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Taxonomy Information

Taxonomy Code 163WC1500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013433259 Amanda Mckinley Registered Nurse 630 Barnacle Way Suite A, Kenai, AK 99611 2017-08-18
1316475395 Chanda Hesson Registered Nurse 3223 E. Palmer-wasilla Hwy St. 3, Palmer, AK 99645 2017-06-02
1043603970 Jacqueline Howard Registered Nurse Mile Post 1314 Alaska Hwy, Tok, AK 99780-0186 2015-03-17
1912343815 Michelle Ann Rountree Registered Nurse 3719 E Meridian Loop Ste F, Wasilla, AK 99654-7273 2013-05-17
1992978803 Josephine Oluyemisi Oke Registered Nurse 750 Bison St., Kotzebue, AK 99752-0170 2008-04-11
1891819678 Sharron Kay Breaker Registered Nurse 404 W 3rd St., Nome, AK 99762 2007-03-19
1114050267 Anne Michele Ivanoff Registered Nurse 189 Airport Rd, Unalakleet, AK 99684 2007-03-14
1467585240 John Ryan Mclane Registered Nurse 5th Avenue and Bering Street, Nome, AK 99762 2007-03-13
1386662328 Pamela Ann Archer-beck Registered Nurse 2735 E. Tudor Rd, Anchorage, AK 99508-4756 2006-07-18
1760460273 Susan Rose Meiler Registered Nurse 1060 Gaffney Rd # 7440, Bassett Army Community Hospital, Ft Wainwright, AK 99703-5001 2006-01-04
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Competitor

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City FORT WAINWRIGHT
Zip Code 99703

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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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