HEATHER WHALEN (NPI# 1831600352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831600352 |
| Entity Type | Individual |
| Full Name | HEATHER WHALEN |
| Credential | APRN |
| Practice Address |
120 Jill Dr Berea KY 40403-1677 |
| Mailing Address |
2700 Stanley Gault Pkwy Ste 129 Louisville KY 40223-5176 |
| Practice Telephone | 8599857195 |
| Practice Fax Number | 8599851001 |
| Mailing Telephone | 5022534914 |
| Mailing Fax Number | 5024895751 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3011836 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487988481 | Heather Louise Whalen | Speech-Language Pathologist | 251 Washington Ave Ext, Early Childhood Education Center, Albany, NY 12205 | 2009-09-23 |
| 1598314940 | Heather Anne Whalen | Counselor | 322 S Birch St, Mccleary, WA 98557-9522 | 2019-09-09 |
| 1760816763 | Heather Margaret Whalen | Registered Nurse | 3166 Collins Dr, Merced, CA 95348-3132 | 2013-08-26 |
| Street Address |
120 JILL DR |
| City | BEREA |
| State | KY |
| Zip Code | 40403-1677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679500151 | Ladonna Borge | Pharmacist | 120 Jill Dr, Berea, KY 40403-1677 | 2006-06-28 |
| 1497355903 | Jana Stiles | Pharmacist | 120 Jill Dr, Berea, KY 40403-1677 | 2020-10-26 |
| 1073132361 | Casey Colbert | Pharmacist | 120 Jill Dr, Berea, KY 40403-1677 | 2020-04-16 |
| 1356999445 | Deanna Leigh Conner | Pharmacist | 120 Jill Dr, Berea, KY 40403-1677 | 2019-08-31 |
| 1275056129 | Nathan Hudson | Pharmacist | 120 Jill Dr, Berea, KY 40403-1677 | 2017-07-24 |
| 1669840823 | Brittney Paige Fitzpatrick | Nurse Practitioner | 120 Jill Dr, Berea, KY 40403-1677 | 2015-09-04 |
| 1144505629 | Angel Henderson | Nurse Practitioner | 120 Jill Dr, Berea, KY 40403-1677 | 2011-10-17 |
| 1639498520 | Curtis Allen Myers | Optometrist | 120 Jill Dr, Berea, KY 40403-1677 | 2010-05-18 |
| 1578761136 | Jason B. Howard, O.d. L.L.C. | Optometrist | 120 Jill Dr, Berea, KY 40403-1677 | 2007-07-05 |
| 1730262296 | Wal-mart Stores East, Lp | Technician/Technologist | 120 Jill Dr, Berea, KY 40403-1677 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| Find all providers in zip 40403 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073096616 | Stephanie Jane Warren | Nurse Practitioner | 245 Prince Royal Dr Ste A, Berea, KY 40403-1471 | 2018-09-10 |
| 1366934853 | Brandi Lenay Botkin | Nurse Practitioner | 319 Bocote Dr, Berea, KY 40403-9584 | 2018-05-31 |
| 1184091563 | Tara Mcclure | Nurse Practitioner | 109 Slippery Rock Ln, Berea, OH 44017-3159 | 2015-09-01 |
| 1841507456 | Stephanie Diane Ferrell | Nurse Practitioner | 295 Paint Lick Rd, Berea, KY 40403-8078 | 2010-09-02 |
| 1902423429 | Sheryl Christine Aponte | Nurse Practitioner | 570 N Rocky River Dr, Berea, OH 44017-1613 | 2020-06-30 |
| 1093345977 | Adam Lee Deshong | Nurse Practitioner | 234 Brenwood St, Berea, KY 40403-1637 | 2020-01-20 |
| 1104393925 | Rebecca Brandenburg | Nurse Practitioner | 305 Estill St, Berea, KY 40403-1742 | 2018-10-30 |
| 1053847608 | Ciara Pruitt | Nurse Practitioner | 255 Front St, Berea, OH 44017-1943 | 2017-05-02 |
| 1982144143 | Kristin Morgan | Nurse Practitioner | 234 Brenwood St, Berea, KY 40403-1637 | 2017-03-06 |
| 1790134948 | Charles King | Nurse Practitioner | 234 Brenwood St, Berea, KY 40403-1637 | 2016-06-08 |
| Find all providers in BEREA | ||||
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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.