MRS. KELLI NICOLE HEER (NPI# 1134498132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134498132 |
| Entity Type | Individual |
| Full Name | MRS. KELLI NICOLE HEER |
| Credential | PA-C |
| Practice Address |
106 Westside Dr Dothan AL 36303-1908 |
| Mailing Address |
2505 Harrison Ave Panama City FL 32405-4464 |
| Practice Telephone | 8772313376 |
| Practice Fax Number | 8505228354 |
| Mailing Telephone | 8502333376 |
| Mailing Fax Number | 8505228354 |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA 803 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | AL PHYSICIAN ASSISTANT | PA.803 | 01 |
| Street Address |
106 WESTSIDE DR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891206439 | Allie Sarah Alford | Physician Assistant | 106 Westside Dr, Dothan, AL 36303 | 2017-10-23 |
| 1992236889 | Sydney K Givens | Physician Assistant | 106 Westside Dr, Dothan, AL 36303-1908 | 2017-03-23 |
| 1255798047 | Rachel Brooks | Physician Assistant | 106 Westside Dr, Dothan, AL 36303-1908 | 2016-01-25 |
| 1649510744 | Gulf Coast Plastic & Reconstructive Surgery, Inc. | Surgery | 106 Westside Dr, Dothan, AL 36303-1908 | 2013-02-26 |
| 1730432311 | Amanda Lynn Day | Physician Assistant | 106 Westside Dr, Dothan, AL 36303-1908 | 2012-10-19 |
| 1013973692 | Jeffrey B Stricker | Dermatology | 106 Westside Dr, Dothan, AL 36303-1908 | 2006-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942771183 | Sarah Elizabeth Sloop | Physician Assistant | 4300 W Main St Ste 24, Dothan, AL 36305-1312 | 2018-12-16 |
| 1518918341 | Lori Harris Stockdale | Physician Assistant | 1812 E Main St, Dothan, AL 36301-3000 | 2006-05-15 |
| 1356658868 | Maxwell Geoff Gunn | Physician Assistant | 2431 W Main St, Ste 1001, Dothan, AL 36301-1217 | 2010-09-03 |
| 1912043399 | Ashley Leigh Rane | Physician Assistant | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2007-01-30 |
| 1982677803 | Thomas C Gauldin | Physician Assistant | 2431 W Main St, Ste 1001, Dothan, AL 36301-1217 | 2006-02-10 |
| 1356331201 | John V Manning Jr. | Physician Assistant | 2431 W Main St, Ste 1001, Dothan, AL 36301-1217 | 2005-10-24 |
| 1538159496 | Jose M Gonzalez | Physician Assistant | 2431 W Main St, Ste 1001, Dothan, AL 36301-1217 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053887885 | Rachel B Rigsby | Physician Assistant | 22454 Us Highway 72 Ste 200, Athens, AL 35613-2609 | 2018-10-19 |
| 1588139349 | Lauren M Sheffield | Physician Assistant | 22454 Hwy 72, Suite 200, Athens, AL 35613 | 2018-10-09 |
| 1255815908 | Cora Kuhns | Physician Assistant | 6401 Jordan Rd Suite A, Daphne, AL 36526-4728 | 2018-09-19 |
| 1396282026 | Travis Blackburn | Physician Assistant | 200 Montgomery Hwy Ste 125, Vestavia, AL 35216-1840 | 2017-01-19 |
| 1043603236 | Julie Boyd | Physician Assistant | 516 20th St S, Birmingham, AL 35233-2028 | 2015-03-11 |
| 1255738605 | James Cilimberg | Physician Assistant | 2871 Acton Rd, Suite 100, Vestavia, AL 35243-2559 | 2014-12-01 |
| 1780950733 | Laura Nugent Bradley | Physician Assistant | 800 St. Vincent's Drive, Suite 700, Birmingham, AL 35205-1630 | 2012-03-23 |
| 1740583780 | University Orthopaedic Clinic, PC | Physician Assistant | 1732 Temple Ave N, Fayette, AL 35555-1321 | 2010-12-14 |
| 1811290968 | Lacey Golden | Physician Assistant | 48 Medical Park Dr E Ste 255, Birmingham, AL 35235-3464 | 2010-12-13 |
| 1659693836 | Chelsea Bares | Physician Assistant | 2151 Highland Ave S Ste 200, Birmingham, AL 35205-4031 | 2010-02-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. KELLI NICOLE HEER.
| 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.