HEATHER CONN (NPI# 1790155182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790155182 |
| Entity Type | Individual |
| Full Name | HEATHER CONN |
| Credential | FNP-C |
| Practice Address |
110 E 5th Ave Antigo WI 54409-2710 |
| Mailing Address |
N3698 Dehart Rd White Lake WI 54491-9232 |
| Practice Telephone | 7156232351 |
| Mailing Telephone | 7152190351 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6669-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629599378 | Heather Renee Conn | Behavioral Analyst | 3101 Sunset Blvd Ste 1a, Rocklin, CA 95677-3097 | 2017-07-03 |
| 1902248495 | Heather Conn | Nurse Practitioner | 1540 W Goodwin St, Pleasanton, TX 78064-3804 | 2013-07-24 |
| 1275880601 | Heather Conn | Nurse Practitioner | 2255 Broadway Dr, Hattiesburg, MS 39402-3254 | 2012-08-03 |
| Street Address |
110 E 5TH AVE |
| City | ANTIGO |
| State | WI |
| Zip Code | 54409-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558343319 | James M Turnbull | General Practice | 110 E 5th Ave, Aspirus General Clinic, Antigo, WI 54409-2710 | 2005-11-17 |
| 1811343544 | Lesley Washatko | Physician Assistant | 110 E 5th Ave, Antigo, WI 54409-2710 | 2016-05-12 |
| 1336548627 | Nathaniel Joseph Retrum | Physician Assistant | 110 E 5th Ave, Antigo, WI 54409-2710 | 2014-08-22 |
| 1548406416 | Jessica Marie Brandt | Physical Therapist | 110 E 5th Ave, Department of Physical Therapy, Antigo, WI 54409-2710 | 2008-12-26 |
| 1033309315 | Kathleen M Bender | Dietitian, Registered | 110 E 5th Ave, Antigo, WI 54409-2710 | 2007-08-01 |
| 1023233822 | Bonnie J Hessedal | Dietitian, Registered | 110 E 5th Ave, Antigo, WI 54409-2710 | 2007-04-16 |
| 1821151366 | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | Clinic/Center | 110 E 5th Ave, Antigo, WI 54409-2710 | 2006-12-18 |
| 1114037363 | Angela Buchman | Physician Assistant | 110 E 5th Ave, Antigo, WI 54409-2710 | 2006-08-30 |
| 1578679262 | John E Mckenna | Family Medicine | 110 E 5th Ave, Antigo, WI 54409-2710 | 2006-08-22 |
| 1184643413 | Andrea L Pennington | Physician Assistant | 110 E 5th Ave, Antigo, WI 54409-2710 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454036 | Jason Peter Cueny | Pharmacist | 200 E Highway 64, Antigo, WI 54409 | 2020-10-15 |
| 1770194524 | Christpher George Rowe | Technician | 825 Clermont S Apt 7, Antigo, WI 54409 | 2020-08-14 |
| 1033753512 | Joseph Gerger | Technician | 711 Badger Ave, Antigo, WI 54409 | 2019-10-29 |
| 1225368780 | Integrated Pain Solutions LLC | Clinic/Center | 2327 Neva Road, Antigo, WI 54409 | 2010-01-06 |
| 1558525212 | Jessica E Rosenberg | Social Worker | 310 South Superior Street, Antigo, WI 54409 | 2008-07-11 |
| 1053433292 | Raymond J Portman | Dentist | 705 Fifth Ave, Antigo, WI 54409 | 2007-04-06 |
| 1699801316 | Rick L Perkins | Obstetrics & Gynecology | Aspirus General Clinic, 110 East 5th Avenue, Antigo, WI 54409 | 2007-02-26 |
| 1205999646 | Earl J Roth | Chiropractor | 612 Century Ave, Antigo, WI 54409 | 2006-12-18 |
| 1811061187 | Rosanne Schermetzler | Occupational Therapist | 720 Ackley Street, Antigo, WI 54409 | 2006-11-20 |
| 1912084070 | Antigo Total Therapy & Sports Rehab Center Inc | Physical Therapist | 720 Askley Street, Antigo, WI 54409 | 2006-11-01 |
| Find all providers in zip 54409 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295381481 | Melissa Flannery | Nurse Practitioner | 112 E 5th Ave, Antigo, WI 54409-2710 | 2019-08-13 |
| 1568911097 | Aaron Wright | Nurse Practitioner | 112 E 5th Ave, Antigo, WI 54409-2710 | 2016-09-26 |
| 1861847667 | Mary Jo Kautza | Nurse Practitioner | 112 E 5th Ave, Antigo, WI 54409-2710 | 2016-04-28 |
| 1730561200 | Kalmette Lyn Cambray | Nurse Practitioner | 112 E 5th Ave, Antigo, WI 54409-2710 | 2015-06-22 |
| 1982897617 | Sarah Ann Greuel | Nurse Practitioner | 112 E 5th Ave, Antigo, WI 54409-2710 | 2007-08-27 |
| 1770508863 | Rita Lynn Stowe | Nurse Practitioner | 112 E 5th Ave, Antigo, WI 54409-2710 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1497352090 | Carlotta Williams | Nurse Practitioner | 1205 Juniper Ln, Oconomowoc, WI 53066-3100 | 2020-10-06 |
| 1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
| 1649877663 | Kirk O'hanison | Nurse Practitioner | 1020 Oconomowoc Pkwy Unit B, Oconomowoc, WI 53066-4616 | 2020-10-02 |
| 1780291401 | Carlie Dell | Nurse Practitioner | 1636 Industrial Pkwy N, Marinette, WI 54143-3703 | 2020-09-27 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
| 1245844364 | Asia Ann Gomez | Nurse Practitioner | 2816 E Allison Ave, Cudahy, WI 53110-2541 | 2020-09-04 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
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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.