JESSICA HEATHCOTE (NPI# 1306483169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306483169 |
| Entity Type | Individual |
| Full Name | JESSICA HEATHCOTE |
| Credential | RPH |
| Practice Address |
65 Beck Ln Lafayette IN 47909-2836 |
| Practice Telephone | 7654748270 |
| Enumeration Date | 2019-11-28 |
| Last Update Date | 2020-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
26021106A | IN | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 65 Beck Ln, Lafayette, IN 479092836 | 7654748270 |
| Street Address |
65 BECK LN |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47909-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891868311 | Kroger Limited Partnership I | Pharmacy | 65 Beck Ln, Lafayette, IN 47909-2836 | 2006-11-15 |
| 1861038937 | Thelma N Cardenas | Pharmacist | 65 Beck Ln, Lafayette, IN 47909-2836 | 2019-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285135244 | Glasswater Creek of Lafayette, LLC | Assisted Living Facility | 208 Beck Ln, Lafayette, IN 47909 | 2018-02-26 |
| 1518418680 | Dental Professionals of Indiana, PC | Dentist | 2000 Veterans Memorial Parkway S, Lafayette, IN 47909 | 2016-10-24 |
| 1013394709 | Todd Hardin | Dentist | 2 Walter Scholer Drive, Lafayette, IN 47909 | 2015-05-01 |
| 1801296967 | Lacey Hintz | Occupational Therapy Assistant | 2308 Edgelea Dr, Lafayette, IN 47909 | 2014-08-26 |
| 1457691180 | Alicia A Duncan | Lactation Consultant, Non-RN | 207 Buckingham Drive, Lafayette, IN 47909 | 2013-02-16 |
| 1558646505 | Tammie Anne Shockley | Pharmacist | 2800 Old Us 231 S, Walgreens 10974, Lafayette, IN 47909 | 2011-10-20 |
| 1952553448 | Regina R Pilotte | Occupational Therapist | 3864 East 500 South, Lafayette, IN 47909 | 2008-10-16 |
| 1811182405 | Assisted Living Concepts Inc | Assisted Living Facility | 167 West 240 South, Lafayette, IN 47909 | 2007-09-07 |
| 1073716585 | Julia Ann Dillon | Counselor | 3554 Promenade Pkwy Ste E, Lafayette, IN 47909 | 2007-06-11 |
| 1639291503 | Winifred A. Landis | Pharmacist | 2806 Us 231 South, Lafayette, IN 47909 | 2007-04-04 |
| Find all providers in zip 47909 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558646505 | Tammie Anne Shockley | Pharmacist | 2800 Old Us 231 S, Walgreens 10974, Lafayette, IN 47909 | 2011-10-20 |
| 1699078394 | Cordese Shaw Jolivette | Pharmacist | 3414 Moss St Ste C, Lafayette, LA 70507-6107 | 2010-12-19 |
| 1245849611 | Veronica Disher | Pharmacist | 2200 Greenbush St, Lafayette, IN 47904-2342 | 2020-07-30 |
| 1396362943 | Bryce R Burkhart | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-06-30 |
| 1225509292 | Jarred Bowden | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2018-12-16 |
| 1598230351 | Christopher Farmer | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2018-10-09 |
| 1194129197 | Jennifer Slavens | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2014-10-20 |
| 1114356318 | Blair Elaine Maxwell | Pharmacist | 1501 Hartford St, Lafayette, IN 47904-2134 | 2013-11-07 |
| 1922238955 | Paul Shaw | Pharmacist | 280 Exempla Cir, Rock Creek Medical Offices - Kpco Dept of Pharmacy, Lafayette, CO 80026-3370 | 2009-07-24 |
| 1215192711 | Robert Matthew Trujillo | Pharmacist | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2008-07-23 |
| 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.