MRS. HEATHER DIANA MARTIN (NPI# 1619372638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619372638 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER DIANA MARTIN |
| Credential | M.ED, LPC |
| Practice Address |
1170a E Gannon Dr Festus MO 63028-2636 |
| Practice Telephone | 6363222225 |
| Mailing Telephone | 6363222225 |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2014-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 2012014744 | MO | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2012014744 | MO | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
2012014744 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083278279 | Heather Michelle Martin | Nurse Practitioner | 115 Eagles Nest Dr Ste B, Seneca, SC 29678-2762 | 2019-04-24 |
| 1912480807 | Heather Hilda Martin | Registered Nurse | 8573 Steamline Cir, Austin, TX 78745-8088 | 2018-09-07 |
| 1942781778 | Heather Martin | Specialist/Technologist | 152 Porters Bridge Rd, Colora, MD 21917-1037 | 2018-08-29 |
| 1750808069 | Heather A. Martin | Nurse Practitioner | 904 E Race Ave, Searcy, AR 72143-4653 | 2017-08-28 |
| 1538685904 | Heather Martin | Behavioral Analyst | 227 Rogers Ave, West Springfield, MA 01089-1921 | 2017-08-17 |
| 1619329893 | Heather Lynne Martin | Audiologist | 2825 Forest Dr, Bryant, AR 72022-9025 | 2016-07-12 |
| 1114396413 | Heather Marie Martin | Psychologist | 19190 Kinloch, Redford, MI 48240-2602 | 2015-09-17 |
| 1447628466 | Heather Martin | Specialist/Technologist | 42228 Jefferson Dr, Hammond, LA 70403-2158 | 2015-09-08 |
| 1922496025 | Heather Martin | Registered Nurse | 8069 Kensington Blvd Bldg Apt 433, Davison, MI 48423-2275 | 2014-12-26 |
| 1952649311 | Heather Martin | Lactation Consultant, Non-RN | 8271 Lifford Pl, Ft Worth, TX 76116-6923 | 2013-01-19 |
| Street Address |
1170A E GANNON DR |
| City | FESTUS |
| State | MO |
| Zip Code | 63028-2636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687197 | Donna Tilley | Counselor | 1170a E Gannon Dr, Festus, MO 63028-2604 | 2020-10-18 |
| 1912560582 | John Ralph Weber Jr. | Counselor | 1170a E Gannon Dr, Festus, MO 63028-2636 | 2019-04-18 |
| 1922594993 | Pamela Annette Weaver | Counselor | 1170a E Gannon Dr, Festus, MO 63028 | 2018-07-02 |
| 1891190773 | Guided Solutions Counseling & Mediation, LLC | Counselor | 1170a E Gannon Dr, Festus, MO 63028-2636 | 2014-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| Find all providers in zip 63028 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013554203 | Haley Kay Fisher | Counselor | 716 Woodside Creek Dr, Festus, MO 63028-2668 | 2019-12-06 |
| 1508316761 | Kimberly Kemerer | Counselor | 3055 Dual Dr, Festus, MO 63028-3818 | 2016-10-11 |
| 1821440611 | Brandi Lynn Gillam | Counselor | 12368 State Road Cc, Festus, MO 63028-3681 | 2016-07-06 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1013342187 | Theresa Marie Pace | Counselor | 115 Brierton Ln, Festus, MO 63028-1972 | 2013-09-09 |
| 1710214028 | Counseling Connections L.L.C. | Counselor | 206 B East Main St, Festus, MO 63028-1907 | 2009-11-06 |
| 1437121803 | Mary Ellen Hubbard | Counselor | 109 N Mill St, Festus, MO 63028-1815 | 2006-02-01 |
| 1871564542 | Melanie Maria Smith | Counselor | 206b Main St, Counseling Connections, Festus, MO 63028 | 2006-01-30 |
| 1720687197 | Donna Tilley | Counselor | 1170a E Gannon Dr, Festus, MO 63028-2604 | 2020-10-18 |
| 1679043327 | Pillar Counseling and Mental Wellness, LLC | Counselor | 2675 Meyer Rd, Festus, MO 63028-3692 | 2018-11-26 |
| Find all providers in FESTUS | ||||
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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.