Heather Renee Petty in Cookeville - Case Manager/care Coordinator

Heather Renee Petty - NPI 1053511311

Heather Renee Petty is a Case Manager/care Coordinator in Cookeville, Tennessee. Heather Renee Petty practices all healthcare services and medical treatments related to Case Manager/care Coordinator. The NPI Number for Heather Renee Petty is 1053511311. The last update date is 2007-07-24.

Heather Renee Petty's current location address is 665 S Jefferson Ave, Cookeville, Tennessee. You can contact this provider via phone number 9315280051. The mailing address for Heather Renee Petty is 665 S Jefferson Ave, Cookeville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Heather Renee Petty
Address 665 S Jefferson Ave, Cookeville, Tennessee
Phone Number 9315280051
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1053511311
Provider Enumeration Date 2007-07-24
Last Updated Date 2007-07-24

Provider Mailing Address Detail

Address 665 S Jefferson Ave
City Cookeville
State Tennessee (TN)
Post Code 385014011
Phone Number 9315280051
Fax Number

Provider's Primary Taxonomy Detail

Speciality Case Manager/care Coordinator
Taxonomy 171M00000X
Definition:
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a pe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3376955 TN GROUP MEDICARE

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FAQs about Heather Renee Petty

What is the Heather Renee Petty's 1053511311?

The Heather Renee Petty's NPI (National Provider Identifier) Number is 1053511311. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Heather Renee Petty is located?

The Heather Renee Petty is situated at the following address: 665 S Jefferson Ave, Cookeville, TN, 385014011.

What is Heather Renee Petty's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Heather Renee Petty is Case Manager/care Coordinator, and the taxonomy classification code that categorizes this area of expertise is 171M00000X.

On what date did Heather Renee Petty receive its 1053511311 assignment from the Centers for Medicare & Medicaid Services?

The Heather Renee Petty was assigned its 1053511311 on 2007-07-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Heather Renee Petty's information last updated?

The Heather Renee Petty's information was last updated on 2007-07-24.

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