MS. HEATHER ELIZABETH FEAN (NPI# 1538379771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538379771 |
| Entity Type | Individual |
| Full Name | MS. HEATHER ELIZABETH FEAN |
| Credential | APN |
| Practice Address |
181 W White Horse Pike Suite 100 Berlin NJ 08009-2032 |
| Mailing Address |
402 Lippincott Dr Marlton NJ 08053-4112 |
| Practice Telephone | 8567676670 |
| Practice Fax Number | 8567673518 |
| Mailing Telephone | 8567823300 |
| Mailing Fax Number | 8565048029 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2015-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00087500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP | 077356 SK3 | 01 |
| Street Address |
181 W WHITE HORSE PIKE SUITE 100 |
| City | BERLIN |
| State | NJ |
| Zip Code | 08009-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275643116 | Julian Mark Maressa | Family Medicine | 181 W White Horse Pike, Suite 100, Berlin, NJ 08009-2032 | 2006-08-30 |
| 1356753677 | Kathryn L. D'angelo | Nurse Practitioner | 181 W White Horse Pike, Suite 100, Berlin, NJ 08009-2032 | 2014-05-21 |
| 1992092142 | Kristin A. Le Beau | Nurse Practitioner | 181 W White Horse Pike, Suite 100, Berlin, NJ 08009-2032 | 2011-07-07 |
| 1639369879 | Tamara Minghenelli | Nurse Practitioner | 181 W White Horse Pike, Suite 100, Berlin, NJ 08009-2032 | 2007-07-25 |
| 1942412127 | Hammonton Orthopedic and Sports Physical Therapy | Clinic/Center | 181 W White Horse Pike, Berlin, NJ 08009-2032 | 2007-05-03 |
| 1598856478 | Franklin Family Practice | Family Medicine | 181 W White Horse Pike, Ste 100, Berlin, NJ 08009 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104365592 | Sean Gerard King | Physical Therapist | 115 Route 73 N, #80, Berlin, NJ 08009 | 2017-02-17 |
| 1407303472 | Phoebe Brady | Counselor | 116 Grove St., Berlin, NJ 08009 | 2016-09-07 |
| 1669929782 | Courtney Lynne Chambers | Nurse Practitioner | 16 Aristone Drive, Berlin, NJ 08009 | 2016-09-07 |
| 1346625423 | Amy Torpey | Social Worker | 128 Berlin Cross Keys Road, Berlin, NJ 08009 | 2015-07-30 |
| 1821479494 | Personalized Independent Living Opporuntities & Training Services | Day Training, Developmentally Disabled Services | 283 Jackson Road, Berlin, NJ 08009 | 2015-06-09 |
| 1821497520 | Joseph Cesarine | Emergency Medicine | 100 Townsend Aveniue, Berlin, NJ 08009 | 2014-08-19 |
| 1831443282 | Dedra Lombardi | Counselor | 16 Jason Drive, Berlin, NJ 08009 | 2012-11-07 |
| 1053620674 | Richard Nazer | Dentist | 339 North Route 73, Berlin, NJ 08009 | 2010-09-30 |
| 1134372329 | Caroline Rose Eisenberg | Dietitian, Registered | 127 Berlin Cross Keys Rd, Berlin, NJ 08009 | 2008-10-31 |
| 1720253743 | Terry L Fazio | Nurse Practitioner | 100 Townsend Rd, Bedin, NJ 08009 | 2008-04-30 |
| Find all providers in zip 08009 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194169235 | Kans Booz Lewis | Nurse Practitioner | 41 Jericho Rd, Berlin, NH 03570-1315 | 2013-04-19 |
| 1336469337 | Jessica L Macleod | Nurse Practitioner | 142 Woodridge Drive, Berlin, VT 05602-9516 | 2010-06-02 |
| 1700960010 | Florence G Kasden | Nurse Practitioner | 27 Gloucester Rd, Berlin, MD 21811 | 2006-10-24 |
| 1619915568 | Amy A Buzzi | Nurse Practitioner | 142 Woodridge Rd, Berlin, VT 05602-9165 | 2006-06-03 |
| 1326029893 | Deborah S Wachtel | Nurse Practitioner | 130 Fisher Rd Unit 1, Berlin, VT 05602-9000 | 2005-11-10 |
| 1023259603 | Jennifer Lee Smith | Nurse Practitioner | 4900 Oak Street, Berlin, OH 44610-0426 | 2009-03-12 |
| 1306091368 | Sabrina M Wells | Nurse Practitioner | 9715 Healthway Drive, Berlin, MD 21811 | 2008-11-18 |
| 1679768758 | Jeniffer Tobon | Nurse Practitioner | 130 Fisher Rd, Berlin, VT 05602-9516 | 2007-09-11 |
| 1104029669 | Karen Gudrun Barton | Nurse Practitioner | 181 W White Horse Pike Ste 100, Berlin, NJ 08009 | 2007-06-11 |
| 1770794349 | Barbara Grothe-penney | Nurse Practitioner | 130 Fisher Rd, Central Vermont Medical Center, Berlin, VT 05602-9516 | 2007-05-25 |
| Find all providers in BERLIN | ||||
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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.