KAITLYN ANNE HEFFERNON (NPI# 1467804815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467804815 |
| Entity Type | Individual |
| Full Name | KAITLYN ANNE HEFFERNON |
| Practice Address |
5114 Aminda St Shawnee KS 66226-2682 |
| Practice Telephone | 9139017658 |
| Mailing Telephone | 9139017658 |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | KS | Student, Health Care |
| Street Address |
5114 AMINDA ST |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66226-2682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598792 | Kaitlyn Nicole Jackman | Specialist/Technologist | 6320 Anderson St, Shawnee, KS 66226 | 2018-11-27 |
| 1912436379 | Alexandra Snyder | Behavioral Analyst | 23714 W. 54th Terr., Shawnee, KS 66226 | 2017-06-08 |
| 1992179741 | Melanie Miller | Nurse Practitioner | 5211 Woodsonia Dr, Shawnee, KS 66226 | 2015-11-17 |
| 1639512395 | Marjon Monfared | Family Medicine | 6815 Hilltop Rd Ste 100, Shawnee, KS 66226 | 2013-04-12 |
| 1063726941 | Kinsey Rachel Honeyman | Optometrist | 5433 Roberts Street, Shawnee, KS 66226 | 2010-08-03 |
| 1093974529 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 22700 W 55th Terrace, Shawnee, KS 66226 | 2008-06-09 |
| 1194811620 | William Schmidt | Physician Assistant | 6850 Hilltop Road, Suite 170, Shawnee, KS 66226 | 2006-10-04 |
| 1205280450 | Emily Meyer | Dentist | 6810 Silverheel St, Shawnee, KS 66226 | 2016-04-13 |
| 1013352384 | Honeyman Investments LLC | Eyewear Supplier (Equipment, not the service) | 5433 Roberts Street, Shawnee, KS 66226 | 2013-05-01 |
| 1457429524 | Steven D Rettinger | Family Medicine | 6815 Hilltop Rd, Ste 100, Shawnee, KS 66226 | 2006-11-30 |
| Find all providers in zip 66226 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700404415 | Connor Blaine Rutherford | Student in an Organized Health Care Education/Training Program | 1808 Lantana Ct, Shawnee, OK 74804-3209 | 2020-07-09 |
| 1730714155 | Sheena Jo Coleman | Student in an Organized Health Care Education/Training Program | 6018 Marion St, Shawnee, KS 66218-9254 | 2020-03-05 |
| 1215568589 | Bhupinderjit Kaur Ballagan | Student in an Organized Health Care Education/Training Program | 5112 Meadow Height Dr, Shawnee, KS 66226-2291 | 2020-01-27 |
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1235663444 | Nida Hameedi | Student in an Organized Health Care Education/Training Program | 9423 Sunray Dr, Shawnee, KS 66227-2822 | 2017-04-13 |
| 1942674320 | Carlos Monteagudo | Student in an Organized Health Care Education/Training Program | 21322 W 55th Ter, Shawnee, KS 66218-9375 | 2015-11-22 |
| 1073159281 | Renee Lynn Garuccio | Student in an Organized Health Care Education/Training Program | 101 N Union Ave, Shawnee, OK 74801-7067 | 2019-11-22 |
| 1376048389 | Heather Elise Timm | Student in an Organized Health Care Education/Training Program | 101 N Union Ave, Shawnee, OK 74801-7067 | 2018-03-30 |
| 1619403516 | Darian English | Student in an Organized Health Care Education/Training Program | 101 N Union Ave, Shawnee, OK 74801-7067 | 2017-05-11 |
| 1992151245 | Margaret Mary Houting | Student in an Organized Health Care Education/Training Program | 21620 Midland Dr, Shawnee, KS 66218-9064 | 2016-05-05 |
| Find all providers in SHAWNEE | ||||
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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.