HEATHER MARIE NUDELMAN (NPI# 1801403415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801403415 |
Entity Type | Individual |
Full Name | HEATHER MARIE NUDELMAN |
Credential | MA, PLPC |
Practice Address |
737 Dunn Rd Hazelwood MO 63042-1740 |
Mailing Address |
1132 Piepers Glen Ln O Fallon MO 63366-2018 |
Practice Telephone | 3147079537 |
Mailing Telephone | 3147079537 |
Enumeration Date | 2020-09-28 |
Last Update Date | 2020-09-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
2020021197 | MO | Behavioral Health & Social Service Providers |
Street Address |
737 DUNN RD |
City | HAZELWOOD |
State | MO |
Zip Code | 63042-1740 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619959533 | Jean Earlene Moretto | Counselor | 737 Dunn Rd, Hazelwood, MO 63042-1740 | 2005-11-16 |
1962003574 | Andrea Marie Jackson | Student in an Organized Health Care Education/Training Program | 737 Dunn Rd, Hazelwood, MO 63042-1740 | 2020-11-02 |
1396354148 | Jennifer Lynn Espenschied | Counselor | 737 Dunn Rd, Hazelwood, MO 63042-1740 | 2020-07-28 |
1386262541 | Gabriella Santos Francisco | Counselor | 737 Dunn Rd, Hazelwood, MO 63042-1740 | 2020-07-13 |
1578187605 | Dana Elizabeth Laird | Counselor | 737 Dunn Rd, Hazelwood, MO 63042-1740 | 2020-06-04 |
1467097170 | Nicole Griffin | Counselor | 737 Dunn Rd, Hazelwood, MO 63042-1740 | 2019-11-18 |
1790331528 | Paula Joann Moore | Social Worker | 737 Dunn Rd, Hazelwood, MO 63042-1740 | 2019-08-16 |
1801440664 | Tammy Tellez | Counselor | 737 Dunn Rd, Hazelwood, MO 63042-1740 | 2019-07-30 |
1295391936 | Andrew Jovanovic | Counselor | 737 Dunn Rd, Hazelwood, MO 63042-1740 | 2019-05-17 |
1134689466 | William Collins | Counselor | 737 Dunn Rd, Hazelwood, MO 63042-1740 | 2019-03-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871101147 | Infusion Health Care, LLC | Home Health | 7220 N Linbergh, Suite 355, Hazelwood, MO 63042 | 2020-07-22 |
1558993014 | Humble Helpers Home Care, LLC | Home Health | 7220 N Linbergh Blvd, Suite 240, Hazlewood, MO 63042 | 2020-02-12 |
1417462391 | Community Care | Registered Nurse | 7220 N. Lindbergh Ste 310, Hazelwood, MO 63042 | 2017-12-13 |
1649797077 | Eric R Ricker | Optometrist | 7934 North Lindbergh Blvd Ste A, Hazelwood, MO 63042 | 2017-08-25 |
1750802799 | Health Remedies LLC | Meals | 414 Elmgrove Ln Apt 2, St. Louis, MO 63042 | 2017-06-29 |
1508396193 | Tyrone Cain | Home Health | 7865 Chalmette Drive, Hazelwood, MO 63042 | 2017-06-15 |
1497114888 | Joshalyn Mills | Massage Therapist | 4808 Tall Tree Ln, Hazelwood, MO 63042 | 2016-02-15 |
1902264286 | Tricar Inc | In Home Supportive Care | 1740 Leafcrest Dr, Hazelwood, MO 63042 | 2016-02-02 |
1255750840 | Jeffrey Kelly | Specialist/Technologist | 7220 N Lindbergh, Salyer Perfusion Blvd Ste 360, St. Louis, MO 63042 | 2014-04-10 |
1477894426 | 2nd Chance 4 You, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 327 Sturbridge, Hazelwood, MO 63042 | 2013-03-14 |
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Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891198743 | John Leber Jr. | Counselor | 1130 Teson Rd, Hazelwood, MO 63042-1230 | 2014-10-07 |
1013140839 | Terri Ann Austin | Counselor | 836 Teson Rd, Hazelwood, MO 63042-3336 | 2009-08-27 |
1669595120 | Cynthia Michelle Smith | Counselor | 8428 Tally Ho Dr, Hazelwood, MO 63042-3054 | 2007-04-09 |
1568594422 | Rainbow Counseling LLC | Counselor | 12 Mary Rose Ct, Hazelwood, MO 63042-2106 | 2007-03-09 |
1780739292 | Bft Holding Corp. | Counselor | 7151 N Lindbergh Blvd, Hazelwood, MO 63042-2039 | 2007-01-24 |
1619959533 | Jean Earlene Moretto | Counselor | 737 Dunn Rd, Hazelwood, MO 63042-1740 | 2005-11-16 |
1396354148 | Jennifer Lynn Espenschied | Counselor | 737 Dunn Rd, Hazelwood, MO 63042-1740 | 2020-07-28 |
1386262541 | Gabriella Santos Francisco | Counselor | 737 Dunn Rd, Hazelwood, MO 63042-1740 | 2020-07-13 |
1578187605 | Dana Elizabeth Laird | Counselor | 737 Dunn Rd, Hazelwood, MO 63042-1740 | 2020-06-04 |
1801440664 | Tammy Tellez | Counselor | 737 Dunn Rd, Hazelwood, MO 63042-1740 | 2019-07-30 |
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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.