HEATHER ALLISON ANDERSON (NPI# 1598998536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598998536 |
| Entity Type | Individual |
| Full Name | HEATHER ALLISON ANDERSON |
| Credential | IDC |
| Practice Address |
1721 Taussig Blvd Jason Dunham Ddg 109 Naval Station Norfolk Norfolk VA 23511-2899 |
| Mailing Address |
1721 Lake Christopher Dr Virginia Beach VA 23464-7901 |
| Practice Telephone | 8586637138 |
| Mailing Telephone | 8586637138 |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
| 1952956419 | Heather Marie Anderson | Family Medicine | 6404 Albemarle Rd Ste J&k, Charlotte, NC 28212-3800 | 2019-08-01 |
| 1336706548 | Heather Leann Anderson | Nurse Practitioner | 1407 Viscaya Pkwy Ste 2, Cape Coral, FL 33990-6200 | 2019-05-22 |
| 1750843405 | Heather Louise Anderson | Physician Assistant | 5422 Lewiston St, Orlando, FL 32812 | 2019-04-02 |
| 1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
| 1316323033 | Heather Nicole Anderson | Physical Therapist | 506 Kenny Rd Ste 100, Saint Paul, MN 55130-4555 | 2015-08-04 |
| 1174925135 | Heather Anderson | Specialist/Technologist, Other | 1736 S Millenium Way, Meridian, ID 83642-1511 | 2014-09-22 |
| 1366859993 | Heather Maureen Stillman Anderson | Dentist | 126 North 10th Street, Fort Dodge, IA 50501 | 2014-07-15 |
| 1376963496 | Heather Marie Anderson | Specialist | 1736 Booth Ave, Owensboro, KY 42301-4461 | 2014-04-16 |
| 1558783837 | Heather Anderson | Physical Therapy Assistant | 2185 204th Ave, Donnellson, IA 52625 | 2014-01-06 |
| Street Address |
1721 TAUSSIG BLVD JASON DUNHAM DDG 109 NAVAL STATION NORFOLK, |
| City | NORFOLK |
| State | VA |
| Zip Code | 23511-2899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033110127 | David Gutierrez | Physician Assistant | 1721 Taussig Blvd, Norfolk, VA 23511 | 2005-08-10 |
| 1053573667 | Wayne M Shurtz | Military Health Care Provider | 1721 Taussig Blvd, Norfolk, VA 23511 | 2008-06-26 |
| 1881811586 | Frank Garcia | Military Health Care Provider | 1721 Taussig Blvd, Norfolk, VA 23511-2298 | 2007-04-20 |
| 1649379769 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1721 Taussig Blvd, Norfolk, VA 23511-2899 | 2006-09-22 |
| 1639146632 | Edward Robin Spearman | Military Health Care Provider | 1721 Taussig Blvd, Norfolk, VA 23511 | 2006-03-08 |
| 1407828965 | Thomas E Clasen | Pharmacist | 1721 Taussig Blvd, Norfolk, VA 23511 | 2006-02-07 |
| 1083686315 | Roberto Adrian Gonzalez | Family Medicine | 1721 Taussig Blvd, Navy Branch Medical Clinic Sewels Point, Norfolk, VA 23511-2899 | 2006-02-02 |
| 1679544233 | Loretta Martin | Pharmacist | 1721 Taussig Blvd, Norfolk, VA 23511 | 2006-01-31 |
| 1376514935 | Melanie Kaye O'banion | Pharmacist | 1721 Taussig Blvd, Norfolk, VA 23511 | 2006-01-31 |
| 1710958327 | Elizabeth Carden Peckens | Pharmacist | 1721 Taussig Blvd, Norfolk, VA 23511 | 2006-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215591888 | Nash Richard Galvan | Military Health Care Provider | 456-462 Pocahontas St, Norfolk, VA 23511 | 2019-04-29 |
| 1578059481 | Hillary Anne Diffee | Dentist | Navsta Norfolk Sewells Point Branch Clinic, 1647 Admiral Taussig Blvd, Norfolk, VA 23511 | 2018-07-03 |
| 1154860237 | Alexander Blau | General Practice | 1751 Morris Street, Comnavsurflant - Medical Readiness Division, Norfolk, VA 23511 | 2017-02-22 |
| 1205188307 | Agnes Bautista Banias | Dental Hygienist | 1647 Admiral Taussig Blvd Br Health Clinic, Naval Medical Center Portsmouth, Norfolk, VA 23511 | 2012-10-12 |
| 1891052676 | Conor Francis Hynes | Surgery | 1530 Gilbert St Ste 2000, Norfolk, VA 23511 | 2012-04-18 |
| 1871867747 | Brian Joseph Kennerley | Surgery | U. S. Marine Corps Forces Command, 1775 Forrestal Drive Bldg 33, Norfolk, VA 23511 | 2012-02-23 |
| 1053629964 | Shawnly Heath Ward | Military Health Care Provider | Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 | 2010-09-14 |
| 1225351760 | Jocelyn Martinezdelgado | Military Health Care Provider | 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 | 2010-03-11 |
| 1245480854 | Vanessa O Hofilena | Dentist | 1647 Admiral Taussig Boulevard, Naval Medical Center Portsmouth - Dental Center, Norfolk, VA 23511 | 2008-09-19 |
| 1780833954 | Cecilia M Brownblake | Dentist | 1647 Admiral Taussig Blvd., Norfolk, VA 23511 | 2008-09-12 |
| Find all providers in zip 23511 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447814090 | Francis Anthony Edquid | Military Health Care Provider | 9560 Farragut Ave, Norfolk, VA 23511-2715 | 2019-04-30 |
| 1215591888 | Nash Richard Galvan | Military Health Care Provider | 456-462 Pocahontas St, Norfolk, VA 23511 | 2019-04-29 |
| 1841694684 | Andre Huggins | Military Health Care Provider | 1687 Pocahontas St, Bldg 1a, Norfolk, VA 23511-2918 | 2014-10-21 |
| 1861753030 | Spencer Grey | Military Health Care Provider | 334 E Evans St, Norfolk, VA 23503-5213 | 2012-06-05 |
| 1508155375 | Leonard B Gordon | Military Health Care Provider | Comnavsurflant N02m, 1430 Mitscher Ave, Norfolk, VA 23551-2494 | 2011-04-01 |
| 1073812095 | Eric William Staley | Military Health Care Provider | 7958 Blandy Road, Commander Submarine Force Atlantic, Norfolk, VA 23551-2492 | 2011-03-16 |
| 1497051460 | Mitchell Todd Pearce | Military Health Care Provider | 1004 Hermitage Rd., Norfolk, VA 23521-5000 | 2011-02-08 |
| 1003119538 | Shayla R Robertson | Military Health Care Provider | 150 Allen St, Norfolk, VA 23505-1373 | 2010-12-05 |
| 1053629964 | Shawnly Heath Ward | Military Health Care Provider | Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 | 2010-09-14 |
| 1225351760 | Jocelyn Martinezdelgado | Military Health Care Provider | 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 | 2010-03-11 |
| Find all providers in NORFOLK | ||||
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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.