MRS. HEATHER LYNN BAZAN (NPI# 1598194623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598194623 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER LYNN BAZAN |
| Credential | R.N. |
| Practice Address |
2755 State Highway 67 Johnstown NY 12095 |
| Practice Telephone | 5186616779 |
| Mailing Telephone | 5186616779 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
493790-1 | NY | Nursing Service Providers |
| Street Address |
2755 STATE HIGHWAY 67 |
| City | JOHNSTOWN |
| State | NY |
| Zip Code | 12095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295971042 | Jerri L. Holloway | Physical Therapist | 2755 State Highway 67, Johnstown, NY 12095-3747 | 2008-12-29 |
| 1841667979 | Nikayla Towne-relyea Horton | Physical Therapist | 2755 State Highway 67, Johnstown, NY 12095-3747 | 2015-08-24 |
| 1548547185 | Trisha M Memrick | Registered Nurse | 2755 State Highway 67, Special Education, Johnstown, NY 12095-3747 | 2011-11-10 |
| 1477830115 | Eveline Hoefinger | Occupational Therapist | 2755 State Highway 67, Johnstown, NY 12095-3747 | 2011-11-09 |
| 1417233537 | Cathie Nicole Savage | Registered Nurse | 2755 State Highway 67, Johnstown, NY 12095-3747 | 2011-11-03 |
| 1922384148 | Audrey F Fowler | Registered Nurse | 2755 State Highway 67, Johnstown, NY 12095-3747 | 2011-11-02 |
| 1851677025 | Melissa Anne Eagles | Speech-Language Pathologist | 2755 State Highway 67, Johnstown, NY 12095-3747 | 2011-11-01 |
| 1225314529 | Erica Grace Mattice | Speech-Language Pathologist | 2755 State Highway 67, Johnstown, NY 12095-3747 | 2011-10-31 |
| 1487939484 | Bernard Lawrence Schroeder | Occupational Therapist | 2755 State Highway 67, Johnstown, NY 12095-3747 | 2011-10-21 |
| 1477838514 | Sandra Louise Geier | Registered Nurse | 2755 State Highway 67, Johnstown, NY 12095-3747 | 2011-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245713619 | Kayla Brooks | Registered Nurse | 465 South Perry St., Johnstown, NY 12095 | 2018-09-12 |
| 1134676729 | Billie Jo Loveless | Rehabilitation Unit | 6 East Clinton Street, Apt 1, Johnstown, NY 12095 | 2016-09-01 |
| 1427447499 | Cynthia Ann Lockrow | Counselor | 2-8 West Main Street, Johnstown, NY 12095 | 2015-01-14 |
| 1700282563 | Karie Nasser | Occupational Therapist | 201 W. Madison Avenue, Johnstown, NY 12095 | 2014-11-06 |
| 1063772838 | St. Mary's Healthcare | Internal Medicine | 700 South Perry St, Johnstown, NY 12095 | 2012-05-25 |
| 1801163654 | Maryerin Johneen Agard | Rehabilitation Hospital | Route 67, Hfm Boces, Johnstown, NY 12095 | 2011-11-22 |
| 1497053672 | Erin Kelly Drobnack | Occupational Therapist | 2755 St Rt 67, Johnstown, NY 12095 | 2011-03-11 |
| 1407180649 | Clara Mae Smith | Licensed Practical Nurse | 3462 State Highway 29, Johnstown, NY 12095 | 2009-09-21 |
| 1770730061 | Sarah Elizabeth Liporace | Speech-Language Pathologist | 2714 Ny-29, Johnstown, NY 12095 | 2008-08-19 |
| 1730335761 | Willing Helpers Home for Women Inc. | Assisted Living Facility | 226 West Madison Ave., Johnstown, NY 12095 | 2008-08-11 |
| Find all providers in zip 12095 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548547185 | Trisha M Memrick | Registered Nurse | 2755 State Highway 67, Special Education, Johnstown, NY 12095-3747 | 2011-11-10 |
| 1922384148 | Audrey F Fowler | Registered Nurse | 2755 State Highway 67, Johnstown, NY 12095-3747 | 2011-11-02 |
| 1477838514 | Sandra Louise Geier | Registered Nurse | 2755 State Highway 67, Johnstown, NY 12095-3747 | 2011-10-20 |
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|---|---|---|---|---|
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| 1841899028 | Kara Chalk Hartnett | Registered Nurse | 36 Mcmahon Ave, Corning, NY 14830-3316 | 2020-10-20 |
| 1801495056 | Connie L Miller | Registered Nurse | 5825 Catalpa Ave, Ridgewood, NY 11385-5001 | 2020-10-20 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1689281198 | Jessica Fermin | Registered Nurse | 216 Avenue M Apt 1f, Brooklyn, NY 11230-4689 | 2020-09-29 |
| 1700493236 | Leslie Marie Lamirande | Registered Nurse | Van Buren Elementary School, 14 Ford Street, Baldwinsville, NY 13027 | 2020-09-29 |
| 1922615822 | Alyssa Jane Arlen | Registered Nurse | 4704 State Route 149, Hartford, NY 12838 | 2020-09-25 |
| 1790391845 | Anna Kichuk | Registered Nurse | 160 School Ln, Frankfort, NY 13340-4710 | 2020-09-23 |
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1578172219 | Sasha Sara Martell | Registered Nurse | 2119 27th St Apt D1, Astoria, NY 11105-3014 | 2020-07-29 |
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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.