MS. CHALENA R HETZNECKER (NPI# 1104008895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104008895 |
| Entity Type | Individual |
| Full Name | MS. CHALENA R HETZNECKER |
| Credential | C.M.F. |
| Practice Address |
101 N Woodland Blvd Suite A303 Deland FL 32720-4245 |
| Practice Telephone | 8773377465 |
| Practice Fax Number | 8777934945 |
| Mailing Telephone | 8773377465 |
| Mailing Fax Number | 8777934945 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2017-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224900000X | Mastectomy Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS,PROSTHETICS & PEDO | 000836756O | 01 |
| Street Address |
101 N WOODLAND BLVD SUITE A303 |
| City | DELAND |
| State | FL |
| Zip Code | 32720-4245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528256690 | Edward Lee Somers | Counselor | 101 N Woodland Blvd, Suite 204, Deland, FL 32720-4245 | 2007-10-14 |
| 1356840920 | Alpha Care - Home & Health Services, LLC | Home Health | 101 N Woodland Blvd, Deland, FL 32720-4245 | 2018-02-08 |
| 1700325214 | M. Wharry, Inc. | Psychologist | 101 N Woodland Blvd, Suite 204, Deland, FL 32720-4245 | 2017-02-16 |
| 1528504313 | Mary Ann Elizabeth Wharry | Psychologist | 101 N Woodland Blvd, Suite 204, Deland, FL 32720-4245 | 2017-01-17 |
| 1124424726 | Embark Home Healthcare LLC | Home Health | 101 N Woodland Blvd, Suite 302, Deland, FL 32720-4245 | 2014-11-08 |
| 1750783049 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 101 N Woodland Blvd, Suite 205, Deland, FL 32720 | 2014-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171532 | Kimberlee C Del Campo | Nurse Practitioner | 1590 S, State Highway 15a, Deland, FL 32720 | 2020-10-13 |
| 1699304840 | Grace Haven LLC | In Home Supportive Care | 805 S Stone St, Deland, FL 32720 | 2020-04-08 |
| 1609407766 | Michelle Rene' Tutt | Nurse Practitioner | 1590 South State Hwy 15a, Deland, FL 32720 | 2020-01-28 |
| 1902448715 | Volusia Medical Center LLC | Family Medicine | 850 N. Stone Street, Deland, FL 32720 | 2019-10-14 |
| 1548748957 | Christopher Lee Paik | Internal Medicine | 107 N Stone St, St A, Deland, FL 32720 | 2018-07-30 |
| 1164961041 | Melissa Sorensen | Counselor | 970 N Spring Ave, 523, Deland, FL 32720 | 2017-02-13 |
| 1669910329 | Stefanie Briann Yockey | Counselor | 804 N. Woodland Blvd., Deland, FL 32720 | 2017-02-02 |
| 1144648809 | Steven Shinn | Internal Medicine | 1590 S Sr 15a Ste 100, Deland, FL 32720 | 2014-03-31 |
| 1164843710 | Malgorzata Anna Szelwach | Occupational Therapist | 1590 State Rt 15a Suite B, Deland, FL 32720 | 2013-12-29 |
| 1730510926 | Adriana Marquez | Community/Behavioral Health | 33218 Tomahawk Trail, Deland, FL 32720 | 2013-12-12 |
| Find all providers in zip 32720 | ||||
| Taxonomy Code | 224900000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Mastectomy Fitter |
| An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353494 | Tarcha Rentz | Mastectomy Fitter | 6019 Nw 90th St, Gainesville, FL 32653-2990 | 2020-10-12 |
| 1225392806 | Cynthia P Douglas | Mastectomy Fitter | 1641 Mahan Center Blvd, Suite 2, Tallahassee, FL 32308-7404 | 2012-06-28 |
| 1457612681 | Brenda Parejas | Mastectomy Fitter | 3526 Dovetail Ln N, Lakeland, FL 33812-4123 | 2012-06-05 |
| 1669759171 | Terri Rohde | Mastectomy Fitter | 308 53rd Ave E, Bradenton, FL 34203-4706 | 2011-11-11 |
Please comment or provide details below to improve the information on MS. CHALENA R HETZNECKER.
| 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.