HEATHER NIELSEN (NPI# 1780945675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780945675 |
| Entity Type | Individual |
| Full Name | HEATHER NIELSEN |
| Credential | M.S ED |
| Practice Address |
1205 Main St Port Jefferson NY 11777-2221 |
| Practice Telephone | 6316644317 |
| Mailing Telephone | 6316644317 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 868372 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578930376 | Heather Nielsen | Nurse Practitioner | 8550 Cuthills Cir Ste 100, Lincoln, NE 68526-9523 | 2015-08-27 |
| 1386129492 | Heather J. Nielsen | Nurse Practitioner | 210 9th St Se Ste 1, Rochester, MN 55904-6400 | 2018-09-25 |
| 1821473984 | Heather Nielsen | Physical Therapist | 150 Lincoln St, Lander, WY 82520-2846 | 2015-07-29 |
| 1366861981 | Heather D Nielsen | Family Medicine | 559 W Twincourt Trl Unit 601, St Augustine, FL 32095-8805 | 2014-04-10 |
| 1346665775 | Heather Nielsen | Counselor | 5520 Sw Macadam Ave, Suite 270, Portland, OR 97239 | 2014-02-21 |
| Street Address |
1205 MAIN ST |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891231361 | Gabriella Perinuzzi | Specialist | 108 Birch Drive, Port Jefferson, NY 11777-1902 | 2017-01-09 |
| 1023469814 | Gregg Michael Knel | Specialist | 106 Nadia Ct, Port Jefferson, NY 11777-1432 | 2016-06-23 |
| 1184988974 | Lisa Ann Flanagan | Specialist | 105 Cliff Rd, Port Jefferson, NY 11777-1252 | 2012-06-27 |
| 1235491689 | Jennifer Crimmins | Specialist | 33 Vantage Ct, Port Jefferson, NY 11777-2292 | 2012-06-12 |
| 1063707339 | Pamela Caden | Specialist | 129 South St, Port Jefferson, NY 11777-1864 | 2011-06-15 |
| 1881997724 | Long Island Laparoscopic Surgery,p.l.l.c. | Specialist | 625 Belle Terre Road, Suite 202, Port Jefferson, NY 11777-2316 | 2010-12-15 |
| 1306085808 | Joseph Jehuda Neuschatz | Specialist | 42 Old Homestead Rd, Port Jefferson, NY 11777-1155 | 2009-02-07 |
| 1801891908 | Ajay V. Berdia | Specialist | 640 Belle Terre Road, Building H, Port Jefferson, NY 11777-0001 | 2005-06-15 |
| 1487657755 | Morton L Glaser | Specialist | 60 N Country Rd, Ste 203, Port Jefferson, NY 11777-2188 | 2005-05-31 |
| 1013329333 | Kathleen Lichtenberger | Specialist | 635 Belle Terre Rd, Ste 204, Port Jefferson, NY 11777-1977 | 2014-05-21 |
| Find all providers in PORT JEFFERSON | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
Please comment or provide details below to improve the information on HEATHER NIELSEN.
| 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.