HEATHER LARUE EDMONDSON (NPI# 1093225070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093225070 |
| Entity Type | Individual |
| Full Name | HEATHER LARUE EDMONDSON |
| Credential | FNP |
| Practice Address |
102 3rd St Belmont MS 38827 |
| Mailing Address |
Po Box 813 Belmont MS 38827-0813 |
| Practice Telephone | 6624543401 |
| Mailing Telephone | 6624543401 |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2018-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
902349 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-163717 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 221 Hospital Rd, Red Bay, AL 355823858 | 2563568907 | 2563568903 |
| Street Address |
102 3RD ST |
| City | BELMONT |
| State | MS |
| Zip Code | 38827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619459922 | Belmont Medical Clinic LLC | Family Medicine | 102 3rd St, Belmont, MS 38827-7601 | 2018-09-04 |
| 1134631641 | Mississippi Belmont Clinic, LLC | Family Medicine | 102 3rd St, Po Box 190, Belmont, MS 38827-0190 | 2017-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
| 1174697767 | Jerry Christopher Moss | Chiropractor | 121a Main St., Belmont, MS 38827 | 2006-11-17 |
| 1902826951 | Senter Medical Clinic, PC | Family Medicine | 26 Third Street, Belmont, MS 38827 | 2006-07-20 |
| 1477907616 | Lisa Collums Rhea | Nurse Practitioner | 8 Front St, Belmont, MS 38827 | 2016-04-13 |
| 1598841736 | Yarber Drug Store Inc | Durable Medical Equipment & Medical Supplies | 85 Main St, Belmont, MS 38827 | 2006-10-31 |
| 1528424728 | Tishomingo Regional Providers | Family Medicine | 465 2nd Street, Belmont, MS 38827-0000 | 2016-01-05 |
| 1265646434 | D.w. Ratliff | Clinic/Center | 102 Third Street, Belmont, MS 38827-0190 | 2007-05-09 |
| 1871597385 | Donald W Ratliff | Family Medicine | 102 Third St, Belmont, MS 38827-0190 | 2005-06-13 |
| 1568668804 | D. W. Ratliff | Family Medicine | 102 Third Street, Belmont, MS 38827-0190 | 2007-06-25 |
| 1699918326 | Senter Medical Clinic, PC | Family Medicine | 26 3rd Street, Belmont, MS 38827-0549 | 2009-04-10 |
| Find all providers in zip 38827 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512948 | Angela Rutherford | Nurse Practitioner | 120 Peachtree St, Belmont, NC 28012-2437 | 2020-09-15 |
| 1679185284 | Suphaphorn Manela | Nurse Practitioner | 50 Bartlett Ave, Belmont, MA 02478-1808 | 2020-08-17 |
| 1497254007 | Melissa Maureen Morrison | Nurse Practitioner | 14 Mill Street, Belmont, NH 03220 | 2018-02-09 |
| 1154849255 | Suzanne Trimble King | Nurse Practitioner | 24 Clyde St, Belmont, MA 02478-3909 | 2017-09-08 |
| 1629526231 | Christine Weaver Bright | Nurse Practitioner | 209 Park St Ste 100, Belmont, NC 28012-5208 | 2016-09-13 |
| 1316184187 | Mary Ellen Knopf | Nurse Practitioner | 1012 Villa Ave, Belmont, CA 94002-1721 | 2009-01-15 |
| 1699935312 | Claudina Ghianni | Nurse Practitioner | 100 Belmont Mount Holly Rd, Belmont, NC 28012-2702 | 2008-06-16 |
| 1639216112 | Patricia Mary Wieser | Nurse Practitioner | 1541 Harbor Blvd, Belmont, CA 94002 | 2007-01-31 |
| 1932258837 | Traci Doherty | Nurse Practitioner | 3 Myrtle St, Belmont, MA 02478-3004 | 2007-01-09 |
| 1740251735 | Charles D Griffin | Nurse Practitioner | 14 Mill St, Belmont, NH 03220-4432 | 2006-01-30 |
| Find all providers in BELMONT | ||||
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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.