ERIN HEAVILIN (NPI# 1881022515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881022515 |
| Entity Type | Individual |
| Full Name | ERIN HEAVILIN |
| Practice Address |
854 Washington Ave Ste 330 Holland MI 49423 |
| Mailing Address |
854 Washington Ave Ste 330 Holland MI 49423-7141 |
| Practice Telephone | 6163553926 |
| Mailing Telephone | 6163553926 |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2018-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704285558 | MI | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 1622887 | CO | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704285558 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1333 Iris Ave, Boulder, CO 803042226 | 3034438500 |
| Street Address |
854 WASHINGTON AVE STE 330 |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578682399 | Alicia Katherine Mannes | Counselor | 854 Washington Ave Ste 330, Holland, MI 49423 | 2007-03-29 |
| 1952936494 | Taylor Noelle Lavender | Nurse Practitioner | 854 Washington Ave Ste 330, Holland, MI 49423-7141 | 2020-03-05 |
| 1487165288 | Brenna Rene Vernocke | Social Worker | 854 Washington Ave Ste 330, Holland, MI 49423-7141 | 2017-10-19 |
| 1447517214 | Kylene Krause | Psychologist | 854 Washington Ave Ste 330, Holland, MI 49423-7141 | 2012-04-18 |
| 1255625273 | Emily Todd | Psychiatry & Neurology | 854 Washington Ave Ste 330, Holland, MI 49423-7141 | 2011-06-07 |
| 1154501062 | Michael Alan Jansen | Psychologist | 854 Washington Ave Ste 330, Holland, MI 49423-7141 | 2007-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952936494 | Taylor Noelle Lavender | Nurse Practitioner | 854 Washington Ave Ste 330, Holland, MI 49423-7141 | 2020-03-05 |
| 1083086391 | Mary Louise Hasenauer | Nurse Practitioner | 602 Michigan Ave, Holland, MI 49423-4918 | 2015-10-26 |
| 1619020898 | Ruth Elaine Holthuis | Nurse Practitioner | 12265 James St, Holland, MI 49424-8613 | 2007-01-19 |
| 1194749812 | Mary M Derksen | Nurse Practitioner | 12265 James St, Holland, MI 49424-8613 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1588282784 | Mary Tackbary | Nurse Practitioner | 3932 W Briar Hill Dr, Maple City, MI 49664-9521 | 2020-07-14 |
| 1962032227 | Westlake Consultation Center | Nurse Practitioner | 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 | 2020-01-24 |
| 1689211823 | Wanda Edwards | Nurse Practitioner | 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097 | 2019-12-06 |
| 1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
| 1457905614 | Natalie Poole | Nurse Practitioner | 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 | 2019-07-26 |
| 1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
| 1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
| 1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
| 1396289120 | Next Level Up Health & Wellness Inc. | Nurse Practitioner | 28423 Parkwood St, Inkster, MI 48141-1669 | 2016-12-13 |
| 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.