MS. KELLY K HEFFERNAN (NPI# 1861697153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861697153 |
| Entity Type | Individual |
| Full Name | MS. KELLY K HEFFERNAN |
| Credential | FNP |
| Practice Address |
624 Mcclellan St Suite 203 Fox and Schingo Plastic Surgery Schenectady NY 12304-1020 |
| Mailing Address |
9 Ridgefield Way Watervliet NY 12189-1667 |
| Practice Telephone | 5183462358 |
| Mailing Telephone | 5182730458 |
| Mailing Fax Number | 5182209400 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F333933 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447442777 | Kelly Ann Heffernan | Counselor | 95 Pleasant St, Lynn, MA 01901-1524 | 2007-08-10 |
| Street Address |
624 MCCLELLAN ST SUITE 203 FOX AND SCHINGO PLASTIC SURGERY |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12304-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982656286 | Diana L Page | Otolaryngology | 624 Mcclellan St, Suite G01, Schenectady, NY 12304-1020 | 2006-05-16 |
| 1457807570 | Olamide Akhumere | Nurse Practitioner | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2016-08-29 |
| 1366892374 | Michael Ferro | Family Medicine | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2016-06-21 |
| 1871943746 | Jeremy Sawh | Family Medicine | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2016-06-21 |
| 1083064943 | Innesa Sarkisova | Family Medicine | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2016-06-21 |
| 1598115446 | Sushma Prathipati | Family Medicine | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2016-06-21 |
| 1134509169 | Lauren Sequeira | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2015-06-04 |
| 1114307147 | Natalia Todd | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2015-06-04 |
| 1427438746 | Imma Forestal | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2015-06-02 |
| 1275913592 | Isidro Borboa-orduno | Student in an Organized Health Care Education/Training Program | 624 Mcclellan St, Suite 101, Schenectady, NY 12304-1020 | 2015-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780173682 | Aminah Alia Roberts | Registered Nurse | 200 Hillcrestave, Schenectady, NY 12304 | 2018-05-07 |
| 1871046870 | Katie Tonkin | Dentist | 445 Balltown Rd Ste 2, Schenectady, NY 12304 | 2016-07-27 |
| 1508226655 | Karen Verret | Specialist | 230 Oregon Ave, Schenectady, NY 12304 | 2016-03-02 |
| 1104161850 | Northeast Parent and Child Society | Local Education Agency (LEA) | 327 Abbottsford Road, Schenectady, NY 12304 | 2012-12-06 |
| 1316207061 | Amanda C Fennicks | Licensed Practical Nurse | 1743 Hamburg St, Schenectady, NY 12304 | 2012-05-29 |
| 1639445232 | Lisa Marie Langer | Pharmacist | 2037 State Street, Schenectady, NY 12304 | 2012-03-28 |
| 1487922167 | Mary Ellen B Nagel | Registered Nurse | 1821 Hamburg St, Schenectady, NY 12304 | 2011-12-08 |
| 1699084624 | Paula Frances Williams | Speech-Language Pathologist | 2566 Balltown Road, Schenectady, NY 12304 | 2010-09-24 |
| 1558547133 | Fraterrigo Eye Physicians &surgeons, Pllc | Ophthalmology | 700 Mcclellan Street, St. Clare's Medical Arts Building, Schenectady, NY 12304 | 2008-01-14 |
| 1104022730 | William T. Tirone | Dentist | 600 Mcclellan Street, Schenectady, NY 12304 | 2007-06-21 |
| Find all providers in zip 12304 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201507 | Sofia Alila-barratiere | Nurse Practitioner | 1101 Nott St Ste B6, Schenectady, NY 12308-2425 | 2020-09-27 |
| 1528670965 | Jacklyn Elyse Delzotto | Nurse Practitioner | 700 Mcclellan St Ste 101, Schenectady, NY 12304-1084 | 2020-08-18 |
| 1427675578 | Michelle Balagulan Borra | Nurse Practitioner | 4210 Court Royale Apt 8, Schenectady, NY 12304-1848 | 2020-07-05 |
| 1396368056 | Lisa Marie Glantzis | Nurse Practitioner | Sunnyview Hospital, 1270 Belmont Ave, Schenectady, NY 12308-1230 | 2020-05-28 |
| 1942841242 | Alison Elsheikh | Nurse Practitioner | 948 Meadow Ln, Schenectady, NY 12309-6529 | 2019-10-08 |
| 1598110397 | Jessica Ann Napoli-mcnally | Nurse Practitioner | 647 Draper Ave, Schenectady, NY 12306-3040 | 2016-04-28 |
| 1588004717 | Mary Elizabeth Mastrianni | Nurse Practitioner | 1201 Nott St Ste 204, Schenectady, NY 12308-2589 | 2013-07-02 |
| 1578774139 | Susan Lynn Manchester | Nurse Practitioner | 807 Union St, Silliman Hall, Schenectady, NY 12308-3103 | 2007-05-25 |
| 1386862860 | St. Peter's Hospitalof The City of Albany | Nurse Practitioner | 2925 Hamburg Street, Schenectady, NY 12303-4349 | 2007-04-23 |
| 1790869634 | Donna Sgarlata | Nurse Practitioner | 2125 River Rd Ste 103, Schenectady, NY 12309-1135 | 2006-10-25 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12304 |
Please comment or provide details below to improve the information on MS. KELLY K HEFFERNAN.
| 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.