HEATHER LEE WHITE (NPI# 1083107759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083107759 |
| Entity Type | Individual |
| Full Name | HEATHER LEE WHITE |
| Credential | RSA |
| Practice Address |
750 Broadway Ave E Mattoon IL 61938-4610 |
| Practice Telephone | 2172385700 |
| Practice Fax Number | 2172385767 |
| Mailing Telephone | 2172385700 |
| Mailing Fax Number | 2172385767 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295216125 | Heather White | Physician Assistant | 745 Olive St Ste 200, Shreveport, LA 71104-2246 | 2018-08-28 |
| 1376084988 | Heather Rachel White | Licensed Practical Nurse | 571 E Twinsburg Rd, Northfield, OH 44067-2853 | 2017-03-15 |
| 1790180305 | Heather White | Behavioral Analyst | 189 West Schrock Road, Westerville, OH 43081 | 2014-10-24 |
| 1528493517 | Heather White | Doula | 177 Dwight St, #4, Brooklyn, NY 11231-1549 | 2013-09-09 |
| 1053606400 | Heather Lynn White | Audiologist | 5931 W State Road 46, Bloomington, IN 47404-9359 | 2011-06-14 |
| 1588997407 | Heather Helena White | Nurse Practitioner | 275 N. El Cielo Suite D-420, Palm Springs, CA 92262 | 2009-09-09 |
| 1568623528 | Heather Lynn White | Massage Therapist | 111 E Lytle St, Murfreesboro, TN 37130-3807 | 2008-06-23 |
| 1316503253 | Heather White | Registered Nurse | 60 Fredonia Rd, Greenville, PA 16125-7901 | 2019-05-16 |
| 1871061119 | Heather Rachelle White | Physical Therapist | 1180 Beacon St Ste 6c, Brookline, MA 02446-3806 | 2018-11-05 |
| 1457845091 | Heather White | Social Worker | 302 Courthouse Rd, Gulfport, MS 39507-1890 | 2018-06-18 |
| Street Address |
750 BROADWAY AVE E |
| City | MATTOON |
| State | IL |
| Zip Code | 61938-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203914 | Coles County Mental Health Association, Inc. | Community/Behavioral Health | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2005-05-24 |
| 1962003384 | Darren Victor Mathias | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-11-03 |
| 1811595341 | Alexander Rojas | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-10-16 |
| 1669070181 | Selina Nicole Satterfield | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-10-16 |
| 1376159970 | Tammy Dahlke | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-09-18 |
| 1326654914 | Morgan Hummel | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-09-18 |
| 1194330217 | Chelsea Brettin | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-09-15 |
| 1760091458 | Jessica Frields | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-07-28 |
| 1619586906 | Lisa Ann Harrison | Registered Nurse | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-07-23 |
| 1588272637 | Jessica Blazich | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831134 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | Clinic/Center | 101 Coles Centre Pkwy, Ste 101, Mattoon, IL 61938 | 2020-04-30 |
| 1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
| 1841707726 | Mattoon Chiropractic LLC | Chiropractor | 905 Remington Rd, Mattoon, IL 61938 | 2018-01-02 |
| 1164892758 | Dr. Charles L. Schnibben Ltd. | Dentist | 1502 Lakeland Blvd, Mattoon, IL 61938 | 2015-09-25 |
| 1982000139 | Judy A. Clark | Hearing Instrument Specialist | 1302 Charleston Avenue, Audibel Hearing Aids, Mattoon, IL 61938 | 2014-11-17 |
| 1023419884 | Christopher Steven Lillie | Physician Assistant | 200 Richmond Ave East, Family Medical Center, Mattoon, IL 61938 | 2014-09-11 |
| 1295055168 | Jennifer Harp | Mechanotherapist | 232 Richmond Ave East, Mattoon, IL 61938 | 2010-06-02 |
| 1447482682 | Gene Clark Hearing Aid Service | Hearing Aid Equipment | 208 Wabash, Mattoon, IL 61938 | 2009-08-21 |
| 1326229774 | Central Illinois Family Health Center | Nurse Practitioner | 10555 East County Rd 800 North, Mattoon, IL 61938 | 2007-11-14 |
| 1568656445 | Bernie Ranchero | Family Medicine | 1004 Health Center Dr Ste 210, Mattoon, IL 61938 | 2007-09-04 |
| Find all providers in zip 61938 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759701 | Dianna Michelle Castleberry | Peer Specialist | 1166 Mason St, Barry, IL 62312-1137 | 2020-10-27 |
| 1275130452 | Christa Eastburn | Peer Specialist | 30 N Michigan Ave # 420424, Chicago, IL 60602-3402 | 2020-10-01 |
| 1639783244 | Edward Michael Maher IIi | Peer Specialist | 1900 E Main St, Danville, IL 61832-5100 | 2020-09-01 |
| 1447737424 | Gloria C Centeno | Peer Specialist | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2018-07-23 |
| 1154853638 | Kelsey E Neale | Peer Specialist | 405 Central Ave, Northfield, IL 60093-3006 | 2017-04-03 |
| 1891235024 | Juliette Maria Rigdon | Peer Specialist | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2017-03-07 |
Please comment or provide details below to improve the information on HEATHER LEE WHITE.
| 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.