MISS ANNE LOUISE HEINOLD (NPI# 1205820552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205820552 |
| Entity Type | Individual |
| Full Name | MISS ANNE LOUISE HEINOLD |
| Credential | APN FNP |
| Practice Address |
1701 Creasy Lane Lafayette IN 47905 |
| Mailing Address |
1040 Sierra Dr Ste 400 Greenwood IN 46143-7241 |
| Practice Telephone | 7655024949 |
| Mailing Telephone | 3175284800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2019-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 28221087A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 209004835 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71005430A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201331250 | 05 | |
| IN | MEDICARE | M47140187 | 01 |
| MN | 153475200 | 05 |
| Street Address |
1701 CREASY LANE |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922368992 | Trillis Mcclatchey | Nurse Practitioner | 1701 Creasy Lane, Lafayette, IN 47905-1701 | 2012-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915233 | Christi Danielle Carmouche | Nurse Practitioner | 119 Crooked Stick Ln, Lafayette, LA 70506-7539 | 2020-09-03 |
| 1881204808 | Shavondali Harris Cawthorne | Nurse Practitioner | 945 Bellevue Plantation Rd, Lafayette, LA 70503-6122 | 2020-08-04 |
| 1386253870 | Millcreek Medical LLC | Nurse Practitioner | 105 Moss Brook Dr, Lafayette, LA 70508-8039 | 2020-07-30 |
| 1174145759 | Synita Wooten | Nurse Practitioner | 200 Highway 52 Byp E, Lafayette, TN 37083-1353 | 2020-05-18 |
| 1316567548 | Michelle Cataldo | Nurse Practitioner | 605 Viridian Dr Apt 148, Lafayette, CO 80026-7045 | 2020-04-17 |
| 1255974515 | Dr. Terrell S Manuel, LLC | Nurse Practitioner | 336 Brightwood Dr, Lafayette, LA 70508-7358 | 2019-10-19 |
| 1477117562 | Kayley Jon Myers | Nurse Practitioner | 200 Beaullieu Dr Ste 6, Lafayette, LA 70508-7230 | 2019-04-24 |
| 1003371840 | Brandi Rene Boutte | Nurse Practitioner | 1101 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508-5705 | 2019-02-06 |
| 1265912141 | Kathryn Lynn Armentor Boutte | Nurse Practitioner | 4212 W Congress St Ste 3300, Lafayette, LA 70506-6789 | 2018-08-20 |
| 1801380829 | Sarah Darouse | Nurse Practitioner | 155 Hospital Dr Ste 101, Lafayette, LA 70503-2852 | 2018-06-22 |
| Find all providers in LAFAYETTE | ||||
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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.